Mrs Kimberley Helen Odom, FNP in Meridian, ID

Mrs Kimberley Helen Odom, FNP is a medicare enrolled "Nurse Practitioner - Family" in Meridian, Idaho. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sterling Provider Group and her current practice location is 1550 N Crestmont Drive, Suite G, Meridian, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 629-2023.

Mrs Kimberley Helen Odom is licensed to practice in Idaho (license number 68579) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659806941.

Contact Information

	Mrs Kimberley Helen Odom, FNP
	1550 N Crestmont Drive, Suite G, Meridian, ID 83642
	(208) 629-2023
	(208) 759-5840

Map and Direction

Provider's Profile

Full Name	Mrs Kimberley Helen Odom
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1550 N Crestmont Drive, Meridian, Idaho
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kimberley Helen Odom graduated from nursing school in 2019

NPI Data:

NPI Number: 1659806941
Provider Enumeration Date: 04/25/2017
Last Update Date: 06/20/2024

Medicare PECOS Information:

PECOS PAC ID: 8022407030
Enrollment ID: I20211112001784

Medical Identifiers

Medical identifiers for Mrs Kimberley Helen Odom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659806941	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	68579 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sterling Provider Group	2264773373	57

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kimberley Helen Odom allows following entities to bill medicare on her behalf.

Entity Name	Sterling Provider Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205300407 PECOS PAC ID: 2264773373 Enrollment ID: O20190417001724

Entity Name	Bloom Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679134126 PECOS PAC ID: 2466782453 Enrollment ID: O20190917003533

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kimberley Helen Odom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kimberley Helen Odom, FNP 1550 N Crestmont Dr Ste G, Meridian, ID 83642-2177 Ph: (208) 629-2023	Mrs Kimberley Helen Odom, FNP 1550 N Crestmont Drive, Suite G, Meridian, ID 83642 Ph: (208) 629-2023

Reviews and Comments

Nurse Practitioner Nurses in Meridian, ID

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

Mrs Kimberley Helen Odom, FNP - Medicare Nurse Practitioner in Meridian, ID