Active NPI
Krysten Marie Bell
- Pediatric Orthopaedic Surgery Physician
- Boise, ID
National Provider Identifier
1639495708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- M-13270
- Practice address
- 2178 S Myers PL
Boise, ID 83706-5503 - Phone
- (909) 647-8614
- NPI assigned
- Apr 14, 2010
- Sex
- Female
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Mountain Home, ID
- NPI 1417297821
-
- Rural Health Clinic/Center
- Baker City, OR
- NPI 1336442607
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Loma Linda University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Lukes Clinic-Treasure Valley LLC
Practice addresses (Care Compare)
2619 W Fairview Ave
Boise, ID 83702-6722
Phone (208) 706-2676
608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160617001732 | ID | Practitioner - Orthopedic Surgery | 2062703259 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A118962 | CA | MD | Orthopaedic Surgery Physician |
| 74281 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Treasure Valley LLC | Current | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Locations
600 N Robbins Rd
Ste 100
Boise, ID 83702
Phone (208) 381-9037
610 W Hays St
Boise, ID 83702
Phone (208) 345-3530
Interoperability endpoints
- kbell48813@direct.slhs.org
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 74281 | GA | |
| Orthopaedic Surgery Physician | 207X00000X | A118962 | CA | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | M-13270 | ID | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2178 S Myers PL
Boise, ID 83706-5503
Mailing address
2178 S Myers PL
Boise, ID 83706-5503
Phone (909) 647-8614
Other names 1
NPPES NPI Registry- Krysten Marie Botimer
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 10, 2017.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1639495708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2178 S MYERS PL",
"city": "BOISE",
"state": "ID",
"postal_code": "837065503",
"telephone_number": "909-647-8614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2178 S MYERS PL",
"city": "BOISE",
"state": "ID",
"postal_code": "837065503",
"telephone_number": "909-647-8614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "KRYSTEN",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-14",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "74281",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A118962",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "ID",
"license": "M-13270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRYSTEN",
"last_name": "BOTIMER",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.