Active NPI
Kyrsten E Stoops, MD
- Family Medicine Physician
- Moscow, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD.60298970
- Practice address
- 623 S Main St Ste 1
Moscow, ID 83843 - Phone
- (208) 882-2011
- Fax
- (208) 883-1853
- NPI assigned
- Jul 27, 2010
- Last updated
- Sep 16, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | M-12207 | ID | |
| Family Medicine Physician | 207Q00000X | MD.60298970 | WA | Primary |
Addresses
Primary practice location
623 S Main St Ste 1
Moscow, ID 83843
Mailing address
PO Box 8007
Moscow, ID 83843-0507
Phone (208) 883-2224
Other practice location 1
2500 W A St Ste 101
Moscow, ID 83843-6000
Phone (208) 882-0540
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
623 S Main St
Suite 1
Moscow, ID 83843-2983
Phone (208) 882-2011
700 S Main St
Moscow, ID 83843-3056
Phone (208) 883-6236
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.60298970 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gritman Medical Center, Inc. | Family Medicine | Current | Accepting new patients |
| Gritman Medical Center, Inc. | Family Medicine | Current | Accepting new patients |
| Gritman Medical Center Inc | Current | Accepting new patients | |
| Gritman Medical Center Inc. | Current | Accepting new patients |
Locations
2500 W A St
Ste 101
Moscow, ID 83843
Phone (208) 882-0540
623 S Main St
Ste 1
Moscow, ID 83843
Phone (208) 882-2011
700 S Main St
Moscow, ID 83843
Phone (208) 746-7555
Interoperability endpoints
- kstoops689755@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.
-
dba Moscow Family Medicine
- Family Medicine Physician
- Moscow, ID
- NPI 1538634522
-
- Critical Access Hospital
- Moscow, ID
- NPI 1619988144
-
dba Gritman Internal Medicine Clinic
- Clinic/Center
- Moscow, ID
- NPI 1790182590
-
dba Warrior Health
- Family Medicine Physician
- Lewiston, ID
- NPI 1588413694
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Moscow, ID
- NPI 1619988144
-
dba Gritman Internal Medicine Clinic
- Clinic/Center
- Moscow, ID
- NPI 1790182590
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1417261934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8007",
"city": "MOSCOW",
"state": "ID",
"postal_code": "838430507",
"telephone_number": "208-883-2224",
"fax_number": "208-883-6580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 S MAIN ST STE 1",
"city": "MOSCOW",
"state": "ID",
"postal_code": "83843",
"telephone_number": "208-882-2011",
"fax_number": "208-883-1853"
}
],
"practiceLocations": [
{
"address_1": "2500 W A St Ste 101",
"address_purpose": "LOCATION",
"city": "Moscow",
"state": "ID",
"postal_code": "838436000",
"country_code": "US",
"telephone_number": "208-882-0540",
"fax_number": "208-883-1853",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOOPS",
"first_name": "KYRSTEN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-27",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M-12207",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD.60298970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moscow, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.