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

Krista Koenig

Individual provider Nurse Practitioner · NPI 1457211245

Krista Koenig is a Nurse Practitioner in Boise, Idaho. Qualified in 2025, 1 year ago. Practices with Elite Medicine PC, a 7-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2025

Practice location Address checks out

5500 S Santa Cruz Way
Boise, ID 83709-5164
Phone: (661) 805-8099
Show map & directions

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

Additional practice locations (1)

  • 1525 Addison Ave E Ste A2, Twin Falls, ID 83301-5300 — (208) 739-9961

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7771281 (ID)

Record details

NPI number1457211245
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 13, 2025
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Elite Medicine Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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