Kirk Emil Paolinelli Jr., FNP
Nurse Practitioner, Psych/Mental Health in Meridian, ID. Individual provider (NPI-1).
Details
- NPI
- 1235637240
- Entity type
- Individual (NPI-1)
- Name
- Kirk Emil Paolinelli Jr.
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2018
- Certification date
- Dec 13, 2024
- Last updated
- Dec 13, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 57230 | ID | Yes |
| 363L00000X | Nurse Practitioner | 57230 | ID | |
| 363LF0000X | Nurse Practitioner, Family | 95008301 | CA |
Practice location
4783 N Summit WayMeridian, ID 83646-5017
Phone 208-515-2273
Mailing address
3340 E Goldstone DrMeridian, ID 83642
Phone 208-302-5950 · Fax 208-302-5955
Other practice locations
Fresno, CA 93720-2955
Phone 559-261-2700 · Fax 559-261-0333
Boise, ID 83709
Phone 208-302-5950 · Fax 208-302-5955
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 67 Psychiatric/Mental Health Nurse Practitioner providers in Meridian · All 4,112 providers in Meridian
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