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

Kimereng Kipchumba Kipsuge, NP

Individual provider Acute Care Nurse Practitioner · NPI 1205489978

Kimereng Kipchumba Kipsuge, NP is a Nurse Practitioner in Boise, Idaho. Qualified in 2018, 8 years ago. Practices with St Clair Specialty Physicians PC, a 36-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
8
Licensed in
ID
In the registry since
2019
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

1883 Wildwood St Ste C
Boise, ID 83713-5146
Phone: (208) 901-7006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 62135 (ID)

Record details

NPI number1205489978
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedJuly 22, 2019
Last updated in NPPESJune 30, 2021
Certification dateJune 30, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Clair Specialty Physicians Pc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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