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

Kelsey Eileen Moe, PCP-NP

Individual provider Pediatric Nurse Practitioner · NPI 1043173875

Kelsey Eileen Moe, PCP-NP is a Pediatric Nurse Practitioner in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2025.

Licensed in
ID
In the registry since
2025

Practice location Address checks out

305 E Jefferson St
Boise, ID 83712-6231
Phone: (208) 706-5437
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 202530200 (ID)

Record details

NPI number1043173875
Entity typeIndividual (Type 1)
GenderFemale
Credentials PCP-NP
Sole proprietorNo
NPI enumeratedDecember 8, 2025
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

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