Active NPI
Gwen Lorraine McKee, APRN
- Family Nurse Practitioner
- Kellogg, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 72052
- Practice address
- 25 Jacobs Gulch Rd
Kellogg, ID 83837-2023 - Phone
- (208) 784-1221
- Fax
- (208) 784-0961
- NPI assigned
- Dec 18, 2023
- Last updated
- Dec 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 72052 | ID | Primary |
| Emergency Registered Nurse | 163WE0003X | 69340 | ID |
Addresses
Primary practice location
25 Jacobs Gulch Rd
Kellogg, ID 83837-2023
Mailing address
25 Jacobs Gulch Rd
Kellogg, ID 83837-2023
Other practice location 1
858 Commerce Drive
Smelterville, ID 83868
Phone (208) 784-4612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
858 E Commerce Dr
Smelterville, ID 83868
Phone (208) 784-4612
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69340 | ID | MD | Emergency Registered Nurse |
| 72052 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoshone Medical Center | Current | Accepting new patients | |
| Shoshone Medical Center | Current | Accepting new patients |
Locations
25 Jacobs Gulch Rd
Kellogg, ID 83837
Phone (208) 784-1221
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Kellogg, ID
- NPI 1043215437
-
- Rural Health Clinic/Center
- Smelterville, ID
- NPI 1487272399
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coeur d'Alene, ID
- NPI 1992798409
-
- Home Health Agency
- Silverton, ID
- NPI 1356498521
-
- Critical Access Hospital
- Kellogg, ID
- NPI 1043215437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1043088222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 JACOBS GULCH RD",
"city": "KELLOGG",
"state": "ID",
"postal_code": "838372023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 JACOBS GULCH RD",
"city": "KELLOGG",
"state": "ID",
"postal_code": "838372023",
"telephone_number": "208-784-1221",
"fax_number": "208-784-0961"
}
],
"practiceLocations": [
{
"address_1": "858 Commerce Drive",
"address_purpose": "LOCATION",
"city": "Smelterville",
"state": "ID",
"postal_code": "83868",
"country_code": "US",
"telephone_number": "208-784-4612",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKEE",
"first_name": "GWEN",
"middle_name": "LORRAINE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-18",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "72052",
"primary": true
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "ID",
"license": "69340",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kellogg, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.