Individual provider Active NPI

Vanessa M Klaus, FNP

  • Family Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1912300807
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-1508A Issued in ID
Practice address
1294 E Leighfield Dr
Meridian, ID 83646-3061
Phone
(208) 615-0322
NPI assigned
Oct 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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 NP-1508A ID Primary

Addresses

Primary practice location

1294 E Leighfield Dr
Meridian, ID 83646-3061

Mailing address

1294 E Leighfield Dr
Meridian, ID 83646-3061
Phone (208) 615-0322

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
I20150320001106 ID Practitioner - Nurse Practitioner 5092936641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Key Stone Health Care CurrentSince Feb 9, 2015 Accepting new patients
Keystone Hospice, LLC PastSince Aug 11, 2019 Accepting new patients

Locations

1159 E Iron Eagle Dr
Ste 170
Eagle, ID 83616
Phone (208) 209-3242

21 N Fisher Park Way
Eagle, ID 83616
Phone (208) 514-0670

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1912300807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 E LEIGHFIELD DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836463061",
            "telephone_number": "208-615-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 E LEIGHFIELD DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836463061",
            "telephone_number": "208-615-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLAUS",
        "first_name": "VANESSA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-06",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1508A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.