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

Mrs Kimberley Helen Odom, FNP is a medicare enrolled "Nurse Practitioner - Family" in Boise, 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 6965 N Glenwood St, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 853-3000.

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
	6965 N Glenwood St, Boise, ID 83714-1967
	(208) 853-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kimberley Helen Odom
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	6965 N Glenwood St, Boise, 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: 07/26/2021

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	50

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

Entity Name	Medical Solutions Health And Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649965336 PECOS PAC ID: 1456713353 Enrollment ID: O20231102003984

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 3420 S Fork Ave, Nampa, ID 83686-4856 Ph: (801) 574-5277	Mrs Kimberley Helen Odom, FNP 6965 N Glenwood St, Boise, ID 83714-1967 Ph: (208) 853-3000

Reviews and Comments

Nurse Practitioner Nurses in Boise, ID

Nora M Suarez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222
Dr. Nancy Jane L'heureux, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6259 W Emerald St, Boise, ID 83704 Phone: 208-489-1900 Fax: 208-375-5286
Jennifer Woodburn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-5015
Carl Ciplinski, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709 Phone: 208-302-5950
Kathryn Laura Cnossen, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8000 S Federal Way, Boise, ID 83716 Phone: 208-368-2109
Mrs. Chelsea Rose Wallace, RN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9976 W Emerald St, Boise, ID 83704 Phone: 208-229-3742
Natasha Michele King-anderson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 N Armstrong Pl, Boise, ID 83704 Phone: 208-375-5211

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