Individual provider Active NPI

Ali Renee Klippenstein, FNP

  • Family Nurse Practitioner
  • Boise, ID
National Provider Identifier
1376011619
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
59012 Issued in ID
Practice address
1520 W State St Ste 100
Boise, ID 83702-4084
Phone
(208) 947-7700
NPI assigned
Nov 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 59012 ID Primary

Addresses

Primary practice location

1520 W State St Ste 100
Boise, ID 83702-4084

Mailing address

190 E Bannock St
Boise, ID 83712-6241
Phone (120) 838-1874

Other practice location 1

2112 E Franklin Rd
Meridian, ID 83642-9024
Phone (800) 769-0045

Other practice location 2

3668 N Harbor Ln
Boise, ID 83703-6914
Phone (800) 769-0045

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220713000455 ID Practitioner - Nurse Practitioner 4385025014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes McCall, LTDGroup PAC ID 6507059458, shared by 2 NPIs, 6 clinicians
St Lukes Clinic - McCall LLCGroup PAC ID 7618127994, 44 clinicians

Practice addresses (Care Compare)

1000 State St
McCall, ID 83638-3704

200 Forest St
McCall, ID 83638-5256
Phone (208) 630-2470

209 Forest St
McCall, ID 83638-5256
Phone (208) 637-1776

211 Forest St
McCall, ID 83638-5256
Phone (208) 634-2225

Hospital & facility affiliations

  • St Luke'S McCall Hospital, McCall, ID, CCN 131312
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

Merit-based Incentive Payment System (MIPS)

Final score
82.2 of 100Reported as group
Quality
85.66
Promoting interoperability
100
Improvement activities
40
Cost
55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
59012IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Mar 31, 2022 Accepting new patients
St Lukes Clinic - McCall LLC Family Medicine CurrentSince Dec 27, 2023 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Mar 31, 2022 Accepting new patients

Locations

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

1520 W State St
Ste 100
Boise, ID 83702
Phone (208) 947-7700

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

211 W Forest St
McCall, ID 83638
Phone (208) 467-7546

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1376011619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "120-838-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 W STATE ST STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024084",
            "telephone_number": "208-947-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2112 E Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836429024",
            "country_code": "US",
            "telephone_number": "800-769-0045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3668 N Harbor Ln",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837036914",
            "country_code": "US",
            "telephone_number": "800-769-0045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLIPPENSTEIN",
        "first_name": "ALI",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "59012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.