Kellie Ann Northam, PMHNP-BC, CNM
NPI 1053650010ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Nampa, ID
Nurse Practitioner, Psych/Mental Health (PMHNP-BC, CNM) in Nampa, Idaho, licensed in ID, with an NPI issued in February 2013. Part D covered 47 prescriptions written in 2024, 100% of them generic.
Overview
| NPI | 1053650010 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PMHNP-BC, CNM |
| Sole proprietor | No |
| NPI issued | Feb 11, 2013 |
| Last updated in NPPES | Dec 5, 2025 |
| Certified by provider | Dec 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 61450 | ID |
| Advanced Practice Midwife | 367A00000X | CNM81-A | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 47 · 67 30-day fills |
|---|---|
| Total drug cost | $867.99 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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