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Katelyn Brigham

Pediatrics β€’ Eagle, ID

Active NPI 1932788189 Individual Practitioner Female Practitioner
Practice location in NPPES

450 W State St
Eagle, ID 836167057

Call 2089391035 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

450 W State St

Eagle, ID 836167057

Telephone 2089391035
Fax 2089398970
Organization at the Same NPPES Address or Phone
Kinesis, Llc Facility NPI 1639378409

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Indianapolis, IN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Katelyn Brigham has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Katelyn Brigham as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Eagle and Idaho

11 active clinicians are listed under Pediatrics with a practice address in Eagle, ID (223 in Idaho).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eagle

0% of these 11 clinicians have the CMS telehealth indicator.

0% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-05
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES ID M-17891

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Idaho State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20240919000165

Enrollment State Jurisdiction

ID

PECOS Control ID

6103226360

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

705 Riley Hospital Dr., Ri-5837

Indianapolis, IN 462025109

Phone: 3179444034

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 05, 2024

Registered at 450 W STATE ST, EAGLE, ID 836167057 (Tel: 2089391035)

πŸ“
Updated Business Mailing Address September 05, 2024

Registered at 190 E BANNOCK ST, BOISE, ID 837126241

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 05, 2024

Pediatrics (license number reported to NPPES: ID M-17891)

βœ…
NPI Profile Active April 05, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 05, 2021

Registered at 705 RILEY HOSPITAL DR., RI-5837, INDIANAPOLIS, IN 462025109 (Tel: 3179444034)

πŸ“
Business Mailing Address (Initial Record) April 05, 2021

Registered at 705 RILEY HOSPITAL DR., RI-5837, INDIANAPOLIS, IN 462025109 (Tel: 3179444034)

πŸ‘€
Provider Name / Credentials (Initial Record) April 05, 2021

Recorded as KATELYN BRIGHAM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 05, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1932788189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2021
Last Update: September 05, 2024
Sole Proprietor: No

Mailing Address

190 E Bannock St

Boise, ID 837126241

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.