Doctor profile · Federal record
Dr. Kevin O'Donnell, FNP
Family Nurse Practitioner (CMS: Nurse Practitioner) · Boise, ID
- NPI 1720840507
- Accepts Medicare
- 3 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2619 W Fairview Ave Ste 2100
Boise, ID 837026722
(208) 706-2663
fax (208) 489-4300 - Additional location
-
190 E Bannock St
Boise, ID 837126241
(802) 381-2222 - Mailing address
-
190 E Bannock St
Boise, ID 837126241
Credentials & registration
- NPI registered
- January 2024 — 2 yrs on file
- Profile last updated
- February 22, 2024
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Idaho #59222
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720840507. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$24
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ethicon US, LLC | 1 | $23.58 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Kevin O'Donnell's medical specialty?
Dr. Kevin O'Donnell practices Family Nurse Practitioner in Boise, ID.
Where does Dr. Kevin O'Donnell practice?
Dr. Kevin O'Donnell practices at 2619 W Fairview Ave Ste 2100, Boise, ID 837026722. Office phone: 2087062663.
What is Dr. Kevin O'Donnell's NPI?
Dr. Kevin O'Donnell's National Provider Identifier (NPI) is 1720840507, issued by NPPES.
Does Dr. Kevin O'Donnell accept Medicare assignment?
Yes. Dr. Kevin O'Donnell accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.