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

Kenna Rae Hopkins, NP

Individual provider Nurse Practitioner · NPI 1124739065

Kenna Rae Hopkins, NP is a Nurse Practitioner in Meridian, Idaho. Qualified in 2022, 4 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2022
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

1648 NW 1st St
Meridian, ID 83642-2212
Phone: (208) 888-9393
Fax: (208) 888-9525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1118 Nw 16th St Ste D, Fruitland, ID 83619-2272 — (208) 452-7677

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 56387 (ID)

Record details

NPI number1124739065
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 12, 2022
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Meridian