Kristine P Kingery, PA-C
Individual provider Active NPI Physician Assistant · Middleton, ID
NPI 1679517155 · NPPES record last updated Oct 2, 2024
Key facts
- NPI
- 1679517155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA582 (ID)
- Practice address
- 381 S Middleton Rd Ste B
Middleton, ID 83644-5369 - Phone
- (208) 585-6311
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountain View Hospital LLC
Practice addresses (Care Compare)
2325 Coronado St
Idaho Falls, ID 83404-7407
Phone (208) 557-2700
Hospital & facility affiliations
- Horizon Home Health West
- West Valley Medical Center
- Mountain View Hospital
- St Luke'S Regional Medical Center
- St Luke'S Nampa Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051121000892 | ID | Practitioner - Physician Assistant | 2668491465 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA582 | ID | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Hospital LLC | Past | Accepting new patients | |
| Hti Physician Services of Utah, Inc | Past | Accepting new patients | |
| West Valley Medical Group Specialty Services LLC | Past | Accepting new patients | |
| Caldwell Internal Medicine Professional Association | Past | Accepting new patients | |
| Reed I. Ward, D.O., P.a. | Family Medicine | Past |
Accepting new patients |
Interoperability endpoints
- kristine.kingery@hca3.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA582 | ID | Yes |
Addresses
Primary practice location
381 S Middleton Rd Ste B
Middleton, ID 83644-5369
Mailing address
PO Box 277976
Atlanta, GA 30384-7976
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807305900 | Medicaid | ID |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kristine.kinger@hca3.eclinicaldirectplus.com |
Other providers in Middleton, ID
- Jensen Chiropractic and Wellness PLLC
- Kenneth Dean Jensen
- Scott Richard Jordan
- Meghann Elaine Kalliokoski
- Erin Keller
- Christopher J Kunz
- Bill Thomas Laitinen
- Michelle Roxann Lauber
- Lee Physical Therapy, PC
- Lin-Foo Sam Lee
All providers in Middleton, ID · Physician Assistant in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.