Samantha De Bruyn Kops, APRN, FNP-C in Idaho Falls, ID

Samantha De Bruyn Kops, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Idaho Falls, 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 Julian Debruynkops Md Pa, Taylor G Wright Pc and her current practice location is 2065 E 17th St Ste C, Idaho Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 522-6106.

Samantha De Bruyn Kops is licensed to practice in Idaho (license number 61296) 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 1730744947.

Contact Information

	Samantha De Bruyn Kops, APRN, FNP-C
	2065 E 17th St Ste C, Idaho Falls, ID 83404-8042
	(208) 522-6106
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha De Bruyn Kops
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2065 E 17th St Ste C, Idaho Falls, 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:

Samantha De Bruyn Kops graduated from nursing school in 2019

NPI Data:

NPI Number: 1730744947
Provider Enumeration Date: 05/02/2019
Last Update Date: 02/05/2024

Medicare PECOS Information:

PECOS PAC ID: 1456685122
Enrollment ID: I20190628002896

Medical Identifiers

Medical identifiers for Samantha De Bruyn Kops such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730744947	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	61296 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lost Rivers Medical Center	Arco, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Julian Debruynkops Md Pa	2668651043	2
Taylor G Wright Pc	8426362450	40

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. Samantha De Bruyn Kops allows following entities to bill medicare on her behalf.

Entity Name	Julian Debruynkops Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932417607 PECOS PAC ID: 2668651043 Enrollment ID: O20110201000595

Entity Name	Taylor G Wright Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235526682 PECOS PAC ID: 8426362450 Enrollment ID: O20201222001384

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. Samantha De Bruyn Kops 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
Samantha De Bruyn Kops, APRN, FNP-C 6405 S 3000 E Ste 201, Salt Lake City, UT 84121-6990 Ph: (801) 266-3113	Samantha De Bruyn Kops, APRN, FNP-C 2065 E 17th St Ste C, Idaho Falls, ID 83404-8042 Ph: (208) 522-6106

Reviews and Comments

Nurse Practitioner Nurses in Idaho Falls, ID

Mr. Morgan Tius Garriott, MSN, APRN, CNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2325 Coronado St, Idaho Falls, ID 83404 Phone: 208-542-7021 Fax: 208-542-7371
Mrs. Molly Susan Phillipp, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2065 E 17th St, Suite D, Idaho Falls, ID 83404 Phone: 208-522-0747 Fax: 208-522-9641
Sandy Palma, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2155 Rendezvous Rd, Idaho Falls, ID 83402 Phone: 773-386-1861
James D Brown, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3360 Washington Pkwy Ste 2, Idaho Falls, ID 83404 Phone: 208-932-7024 Fax: 208-904-4447
Salina Thetford, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2001 S Woodruff Ave Ste 4, Idaho Falls, ID 83404 Phone: 208-419-3271
Christopher Leif Edwards, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2330 Coronado St, Idaho Falls, ID 83404 Phone: 208-542-7060
Mr. Nathan Eric Bradfield, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2280 E 25th St, Idaho Falls, ID 83404 Phone: 208-227-2100 Fax: 208-227-2362

Samantha De Bruyn Kops, APRN, FNP-C - Medicare Nurse Practitioner in Idaho Falls, ID