KATHRYN ELIZABETH FENSKE CNM
NPI 1184293086
Midwife in Idaho Falls, ID
NPI Status: Active since June 23, 2021
Contact Information
3450 POTOMAC WAY
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 557-2900
Fax: (208) 557-2910
- Individual
- Female
- Years of Experience 12
- Midwife
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About KATHRYN FENSKE
This page provides the complete NPI Profile along with additional information for Kathryn Fenske, a provider established in Idaho Falls, Idaho with a medical specialization in Midwife and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1184293086 assigned on June 2021. The practitioner's primary taxonomy code is 176B00000X with license number 61080 (ID). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1184293086
- Provider Name
- KATHRYN ELIZABETH FENSKE CNM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3450 POTOMAC WAY IDAHO FALLS, ID 83404
- Location Phone
- (208) 557-2900
- Location Fax
- (208) 557-2910
- Mailing Address
- 3450 POTOMAC WAY IDAHO FALLS, ID 83404
- Mailing Phone
- (208) 557-2900
- Mailing Fax
- (208) 557-2910
- Medical School Name
- OTHER
- Graduation Year
- 2014
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-23-2021
- Last Update Date
- 03-11-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Midwife
- Taxonomy Code
- 176B00000X
- Type
- Other Service Providers
- License No.
- 61080
- License State
- ID
- Taxonomy Description
- A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 176B00000X | Other Service Providers | Midwife |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay - EPO
- Healthy Premier Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kathryn Fenske is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Kathryn Fenske is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 648657262
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20220519001092
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 8 | 4 | 2 | 9 | 3 | 0 | 8 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 16 | 4 | 4 | 9 | 6 | 0 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 1 + 6 + 4 + 4 + 9 + 6 + 0 + 1 + 6 + 24 = 64 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 64 = 6 | 6 |
The NPI number 1184293086 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1841501731 | JASON BILL GUNDERSEN MD Individual | Obstetrics & Gynecology | 3450 POTOMAC WAY IDAHO FALLS, ID 83404 (208) 557-2900 |
1194757393 | MATTHEW ROBISON DO Individual | Obstetrics & Gynecology | 3450 POTOMAC WAY IDAHO FALLS, ID 83404 (208) 557-2900 |
1710056577 | STEVEN W ROBISON MD Individual | Obstetrics & Gynecology | 3450 POTOMAC WAY IDAHO FALLS, ID 83404 (208) 557-2900 |
1568526325 | SUSAN M BINEGAR CNM Individual | Midwife | 3450 POTOMAC WAY IDAHO FALLS, ID 83404 (208) 557-2900 |
1245525955 | TAUNI ECKERSELL FNP-C Individual | Obstetrics & Gynecology | 3450 POTOMAC WAY IDAHO FALLS, ID 83404 (208) 557-2900 |
1073812053 | MS. NATALIE J DANIELS CNMW Individual | Midwife | 3450 POTOMAC WAY IDAHO FALLS, ID 83404 (208) 557-2900 |
1578839221 | HEATHER PAGE DUFFEY CNM Individual | Advanced Practice Midwife | 3450 POTOMAC WAY IDAHO FALLS, ID 83404 (208) 557-2900 |
1487877619 | AUDRA J ROSE PA Individual | Obstetrics & Gynecology | 3450 POTOMAC WAY IDAHO FALLS, ID 83404 (208) 557-2900 |
1558009647 | VALERIE MORRIS CNM Individual | Midwife | 3450 POTOMAC WAY IDAHO FALLS, ID 83404 (208) 557-2900 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184293086, enumerated in the NPI registry as an "individual" on June 23, 2021
The provider is located at 3450 Potomac Way Idaho Falls, Id 83404 and the phone number is (208) 557-2900
The provider's speciality is Midwife with taxonomy code 176B00000X
The provider has more than 12 years of experience.
The provider might be accepting Accepts: Mountain Health CO-OP and University of Utah. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on June 23, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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