Mr Brian Dennis Kittelson, DNP, ARNP, FNP-C | |
875 S Vanguard Way, Meridian, ID 83642-7552 | |
(208) 884-2922 | |
(208) 884-2923 |
Full Name | Mr Brian Dennis Kittelson |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 875 S Vanguard Way, Meridian, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730234345 | NPI | - | NPPES |
NP-958 | Other | ID | STATE OF IDAHO BOARD OF NURSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP-958 (Idaho) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mmmedical Group Llc. | 4183055395 | 8 |
Southern Idaho Health Partners Llc | 5395063564 | 70 |
Entity Name | Southern Idaho Health Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952701401 PECOS PAC ID: 5395063564 Enrollment ID: O20150420000863 |
Entity Name | Mmmedical Group Llc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548890460 PECOS PAC ID: 4183055395 Enrollment ID: O20200501002656 |
Entity Name | Tellica Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760197198 PECOS PAC ID: 3577950765 Enrollment ID: O20231209000226 |
Mailing Address | Practice Location Address |
---|---|
Mr Brian Dennis Kittelson, DNP, ARNP, FNP-C 875 S Vanguard Way, Meridian, ID 83642-7552 Ph: (208) 884-2922 | Mr Brian Dennis Kittelson, DNP, ARNP, FNP-C 875 S Vanguard Way, Meridian, ID 83642-7552 Ph: (208) 884-2922 |
Jennifer Lytle, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3280 E Lanark Dr, Meridian, ID 83642 Phone: 208-895-8670 Fax: 208-955-0494 | |
Rachael Marie Knuteson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1948 S Eagle Rd, Meridian, ID 83642 Phone: 208-322-7900 | |
Heidi Ann Fanslow, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6830 N Agrarian Ave, Meridian, ID 83646 Phone: 253-951-8331 | |
Josef Mcguire, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3080 E Gentry Way Ste 210, Meridian, ID 83642 Phone: 208-384-9022 | |
Melanie Maltese, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 S Baltic Pl, Meridian, ID 83642 Phone: 208-887-4872 | |
Michael Pahang, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 N Crestmont Dr, Meridian, ID 83642 Phone: 208-288-4200 Fax: 208-288-4279 | |
Sarah Cheree Johnson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3653 N Locust Grove Rd, Meridian, ID 83646 Phone: 208-302-7300 Fax: 208-302-7355 |