Kelsey Kuipers, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M-17751 Issued in ID

Practice address

1919 Lincoln Way Ste 315
Coeur D Alene, ID 83814-2527

Phone

(208) 625-6029

NPI assigned

Apr 27, 2022

Last updated

Dec 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shoshone Medical CenterGroup PAC ID 6103739107, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shoshone Medical Center Hospital, Kellogg, ID, CCN 131314
• Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
• Shoshone Medical Center Nursing home, CCN 13Z314

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/9a0a9763-cc6e-4ca0-bdec-c16291c965b9/

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.

• Shoshone Medical Center

  • Critical Access Hospital
  • Kellogg, ID
  • NPI 1043215437
  Medicare reassignment Care Compare group NPD
• Kootenai Health, Inc.

  • Psychiatry Physician
  • Coeur d'Alene, ID
  • NPI 1174661151
  Medicare reassignment NPD
• Kootenai Health, Inc.

  dba Kootenai Health Pharmacy

  • Community/Retail Pharmacy
  • Hayden, ID
  • NPI 1235986290
  NPD
• Kootenai Health, Inc.

  dba Kootenai EKG group

  • Diagnostic Radiology Physician
  • Coeur d'Alene, ID
  • NPI 1700918851
  NPD
• Shoshone Medical Center

  • Rural Health Clinic/Center
  • Smelterville, ID
  • NPI 1487272399

  Family Medicine

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kootenai Health, Inc.

  • General Acute Care Hospital
  • Coeur d'Alene, ID
  • NPI 1992798409
  Care Compare affiliation
• Shoshone Medical Center

  • Critical Access Hospital
  • Kellogg, ID
  • NPI 1043215437
  Care Compare affiliation

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1790429504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24589 TIFFANY LN",
            "city": "HERMOSA",
            "state": "SD",
            "postal_code": "577447514",
            "telephone_number": "605-391-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 LINCOLN WAY STE 315",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142527",
            "telephone_number": "208-625-6029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "858 Commerce Drive",
            "address_purpose": "LOCATION",
            "city": "Smelterville",
            "state": "ID",
            "postal_code": "83868",
            "country_code": "US",
            "telephone_number": "208-784-4612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUIPERS",
        "first_name": "KELSEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-17751",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ID",
            "license": "M-17751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Lee Kroll
• Faith Marie Krull, CNM
• Dianna Plyler Kubacz, MD
• Tiffany Kugler, NP
• Kate A Kuhlman-Wood, MD
• Jill Kuisti, LCSW
• Matthew Kunz, DO
• Ivanka Caroline Kuran, PT
• Tyler Kurle, DDS
• Kathleen E Kurtz

• Family Medicine Physician in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.