Individual provider Active NPI

Khristina Ashley Meissner, DO

  • Family Medicine Physician
  • Montpelier, ID
National Provider Identifier
1982018123
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-0891 Issued in ID
Practice address
166 S 5TH St
Montpelier, ID 83254-4959
Phone
(208) 847-1110
NPI assigned
Jun 16, 2014
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X O-0891 ID Primary
Family Medicine Physician 207Q00000X 14192491-1204 UT

Addresses

Primary practice location

166 S 5TH St
Montpelier, ID 83254-4959

Mailing address

164 S 5TH St
Montpelier, ID 83254-1597
Phone (208) 847-1630

Other practice location 1

164 S 5th St
Montpelier, ID 83254-1557
Phone (208) 847-1630

Other practice location 2

288 S Paradise Pkwy
Garden City, UT 84028-7909
Phone (435) 255-1630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, UT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170628002806 ID Practitioner - Family Practice 2163649377 Reassigns benefits to 2 organizations
I20250324000950 UT Practitioner - Family Practice 2163649377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

164 S
5TH
Montpelier, ID 83254-1557

164 S 5TH St
Montpelier, ID 83254-1557

166 S 5TH St
Montpelier, ID 83254-1557
Phone (208) 847-1110

288 S Paradise Pkwy
Garden City, UT 84028-7909
Phone (435) 255-1630

465 Washington St
Montpelier, ID 83254-1544
Phone (208) 847-4495

467 Washington St
Montpelier, ID 83254-1544
Phone (208) 847-4495

822 Washington St
Montpelier, ID 83254-1423
Phone (208) 847-4464

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Lake County Memorial Hospital Current Accepting new patients
Bear Lake County Memorial Hospital CurrentSince Jul 11, 2017 Accepting new patients
Bear Lake County Memorial Hospital Family Medicine CurrentSince Jul 11, 2017 Accepting new patients
Bear Lake County Memorial Hospital Past Accepting new patients

Locations

164 S 5th St
Montpelier, ID 83254
Phone (208) 847-1630

166 S 5th St
Montpelier, ID 83254
Phone (208) 847-1110

465 Washington St
Montpelier, ID 83254
Phone (208) 847-2878

822 Washington St
Montpelier, ID 83254
Phone (208) 847-4404

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1982018123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 S 5TH ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832541597",
            "telephone_number": "208-847-1630",
            "fax_number": "208-847-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 S 5TH ST",
            "city": "MONTPELIER",
            "state": "ID",
            "postal_code": "832544959",
            "telephone_number": "208-847-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 S 5th St",
            "address_purpose": "LOCATION",
            "city": "Montpelier",
            "state": "ID",
            "postal_code": "832541557",
            "country_code": "US",
            "telephone_number": "208-847-1630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "288 S Paradise Pkwy",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "UT",
            "postal_code": "840287909",
            "country_code": "US",
            "telephone_number": "435-255-1630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEISSNER",
        "first_name": "KHRISTINA",
        "middle_name": "ASHLEY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0891",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "14192491-1204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, ID

Sources for this page

Verify at the official NPI Registry.