NPIMap

Individual provider Active NPI

Meghann Elaine Kalliokoski, DNP

  • Family Nurse Practitioner
  • Middleton, ID
National Provider Identifier
1083373427
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
57422 Issued in ID
Practice address
201 S Paradise Ave
Middleton, ID 83644-5809
Phone
(208) 585-0048
Fax
(208) 466-5359
NPI assigned
Dec 13, 2021
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 57422 ID Primary
Family Medicine Physician 207Q00000X 57422 ID

Addresses

Primary practice location

201 S Paradise Ave
Middleton, ID 83644-5809

Mailing address

PO Box 9
Nampa, ID 83653-0009
Phone (208) 461-7149

Other practice location 1

1588 W Cayuse Creek Dr Unit 100
Meridian, ID 83646-4795
Phone (208) 377-5166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220224001195 ID Practitioner - Nurse Practitioner 9830583426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Clinics IncGroup PAC ID 4082527353, 75 clinicians

Practice addresses (Care Compare)

201 S Paradise Ave
Middleton, ID 83644-5809
Phone (208) 585-0048

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Clinics, Inc. CurrentSince May 28, 2024 Accepting new patients
Healing Sense Corporation Single Specialty CurrentSince Feb 9, 2022 Accepting new patients
Community Health Clinics, Inc. Single Specialty Current Accepting new patients
Community Health Clinics, Inc. Family Medicine CurrentSince May 28, 2024 Accepting new patients

Locations

1075 N Curtis Rd
Ste 100
Boise, ID 83706
Phone (208) 377-5166

150 2nd St
Melba, ID 83641
Phone (208) 495-1011

1588 W Cayuse Creek Dr
#100
Meridian, ID 83646
Phone (208) 377-5166

201 S Paradise Ave
Middleton, ID 83644
Phone (208) 585-0048

223 16th Ave N
Nampa, ID 83687
Phone (208) 318-1376

Interoperability endpoints

  • Direct secure messaging: mkalliokoski710536@direct.ochin.org

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1083373427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836530009",
            "telephone_number": "208-461-7149",
            "fax_number": "208-467-3391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S PARADISE AVE",
            "city": "MIDDLETON",
            "state": "ID",
            "postal_code": "836445809",
            "telephone_number": "208-585-0048",
            "fax_number": "208-466-5359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1588 W Cayuse Creek Dr Unit 100",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836464795",
            "country_code": "US",
            "telephone_number": "208-377-5166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALLIOKOSKI",
        "first_name": "MEGHANN",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "57422",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "57422",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, ID

Sources for this page

Verify at the official NPI Registry.