Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heather Nicole Knutson, NP

Individual provider Dermatology Physician · NPI 1215936034

Heather Nicole Knutson, NP is a Nurse Practitioner in Eagle, Idaho. Qualified in 2003, 23 years ago. Practices with Keller Skin and Cancer Care PC, a 4-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
23
Licensed in
ID
In the registry since
2005
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1605 E Riverside Dr
Eagle, ID 83616-6237
Phone: (208) 939-6227
Fax: (208) 939-6442
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence NP672A (ID)

Record details

NPI number1215936034
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 14, 2005
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Keller Skin And Cancer Care Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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