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

MS. Amie Beth Kenyen, NP-C

Individual provider Nurse Practitioner · NPI 1114569282

MS. Amie Beth Kenyen, NP-C is a Nurse Practitioner in Pocatello, Idaho. Qualified in 2019, 7 years ago. Practices with St Clair Specialty Physicians PC, a 36-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2019
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

444 Hospital Way Ste 607
Pocatello, ID 83201-2714
Phone: (208) 589-3844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2375 E Sunnyside Rd Ste F, Idaho Falls, ID 83404-8281 — (208) 589-3844

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 62679 (ID)

Record details

NPI number1114569282
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedOctober 10, 2019
Last updated in NPPESOctober 10, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Clair Specialty Physicians Pc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pocatello