Kirk Emil Paolinelli Jr., FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

57230 Issued in ID

Practice address

4783 N Summit Way
Meridian, ID 83646-5017

Phone

(208) 515-2273

NPI assigned

Jan 24, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, ID2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Addi 3 clinicians

Meridian Advanced Psychiatry , LLC 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kirk.paolinelli@maph.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CHIFDD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Addi

  • Psychiatric/Mental Health Nurse Practitioner
  • Meridian, ID
  • NPI 1326877762

  ID, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Meridian Advanced Psychiatry , LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Meridan, ID
  • NPI 1609412683

  ID

  Medicare reassignment Care Compare group NPD
• Cep America, LLC

  • Emergency Medicine Physician
  • Boise, ID
  • NPI 1811357023

  ID

  Medicare reassignment NPD
• Cep America - California

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542

  CA

  Medicare reassignment NPD
• Cep America, LLC

  • Emergency Medicine Physician
  • Eagle, ID
  • NPI 1700246915
  NPD
• Cep America - California

  • Emergency Medicine Physician
  • Selma, CA
  • NPI 1356350680
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD
• Cep America-California

  • Emergency Medicine Physician
  • Murrieta, CA
  • NPI 1588552848
  NPD
• Add Clinic of Idaho

  • Family Nurse Practitioner
  • Meridian, ID
  • NPI 1801567029

  Family

  NPD (past)

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1235637240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-302-5950",
            "fax_number": "208-302-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4783 N SUMMIT WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465017",
            "telephone_number": "208-515-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7011 N Howard St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202955",
            "country_code": "US",
            "telephone_number": "559-261-2700",
            "fax_number": "559-261-0333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10583 W Lake Hazel Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "83709",
            "country_code": "US",
            "telephone_number": "208-302-5950",
            "fax_number": "208-302-5955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAOLINELLI",
        "first_name": "KIRK",
        "middle_name": "EMIL",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-24",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "57230",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008301",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "57230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Kathleen Palmer, LMSW
• Miranda Ross Palmer, LPC
• Rylee Palmer
• Dennis Reuben Palnikov, PHARMD
• Melissa Marie Pannell, RN FNP-BC
• Michael Pappas
• Paragond LLC
• Paramount Dental PA
• Leslie Pardue, APRN, PMHNP-BC
• Ashley Parker, DDS

• All providers in Meridian, ID
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.

Verify at the official NPI Registry.