Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962160192 Individual Practitioner Female Practitioner

Kaitlin Cooley , FNP-C

Nurse Practitioner • Meridian, ID

Professional Overview & Biography Verified Profile Summary

Kaitlin Cooley, FNP-C is a registered healthcare professional specializing in Nurse Practitioner in Meridian, ID. Practice services are available at 4740 N PENNGROVE WAY STE 100 under active NPI credentials.

Frequently performed procedures and clinical services include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, residence visit for established patient with low level of medical decision making, per day, if using time, at least, residence visit for established patient with high level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4740 N Penngrove Way Ste 100

Meridian, ID 836467446

Telephone 2089383663
Fax 2089383664
Associated Practice Facility / Clinic
🏢 Pioneer Family Medicine Pllc Facility NPI 1952335929

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Meridian, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
62 Specialists

Practicing in Meridian, ID (602 Statewide)

Telehealth Adoption Rate
12.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
56 37 $250.00 $101.13
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
40 28 $165.00 $61.06
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
16 13 $325.00 $147.29

Medical Specialties & State Licenses

CMS Verified: 2022-08-17
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License ID 58738

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Dr. Jason Ludwig , DO

Family Medicine

NPI 1144258534

Doctor of Osteopathic Medicine (D.O.)

Dr. Sheridan Shaw , DNP, NP-C

Nurse Practitioner - Family

NPI 1346135621

Doctor of Nursing Practice, Nurse Practitioner (Certified)

NPI 1376510123

Doctor of Medicine (M.D.)

Dr. Tracy Roberts , DNP, NP-C

Nurse Practitioner - Family

NPI 1396369138

Doctor of Nursing Practice, Nurse Practitioner (Certified)

Dr. Julie Franden , DNP, NP-C

Nurse Practitioner - Primary Care

NPI 1457652661

Doctor of Nursing Practice, Nurse Practitioner (Certified)

Scott Willoughby , FNP-C

Nurse Practitioner - Family

NPI 1457897852

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 19, 2022

Registered at 4740 N PENNGROVE WAY STE 100, MERIDIAN, ID 836467446 (Tel: 2089383663)

📍
Updated Business Mailing Address July 19, 2022

Registered at 4740 N PENNGROVE WAY STE 100, MERIDIAN, ID 836467446 (Tel: 2089383663)

NPI Profile Active December 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 05, 2021

Registered at 2566 N CISCO LN, BOISE, ID 837025502 (Tel: 2084091262)

📍
Updated Business Mailing Address December 05, 2021

Registered at 2566 N CISCO LN, BOISE, ID 837025502 (Tel: 2084091262)

👤
Provider Name / Credentials Updated December 05, 2021

Recorded as KAITLIN COOLEY, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2021

Nurse Practitioner (License #58738 in ID)

🟢
Initial NPI Registration & Enumeration December 05, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962160192
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2021
Last Update: August 17, 2022
Sole Proprietor: No

Mailing Address

4740 N Penngrove Way Ste 100

Meridian, ID 836467446

Phone: 2089383663

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.