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SYDNEY ELIZABETH DISSELKAMP FNP
NPI 1023604089
Nurse Practitioner in Coeur D Alene, ID

Active since December 14, 2020PECOS EnrolledAccepts Medicare Assignment
700 W IRONWOOD DR STE 378, COEUR D ALENE, ID 83814(208) 625-3555(208) 769-8616 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 18, 2025, Jan 2, 2025, Aug 22, 2024 and 4 more (7 updates tracked since 2020).

About Sydney Elizabeth Disselkamp Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYDNEY ELIZABETH DISSELKAMP FNP (NPI 1023604089) is an individual nurse practitioner in Coeur D Alene, Idaho, licensed in Idaho (63540) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023604089
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSYDNEY ELIZABETH DISSELKAMPCredential: FNP
Location Address700 W IRONWOOD DR STE 378Coeur D Alene, ID 83814-4401
Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 625-4000
Phone(208) 625-3555
Fax(208) 769-8616
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 14, 2020
Last NPPES UpdateApril 14, 20257 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1023604089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ID · 63540
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
700 W IRONWOOD DR STE 378, Coeur D Alene, ID 83814
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Other Names 1

Former Name (1)Sydney Elizabeth Ciembor

Other Identifiers 1

Medicaid1023604089ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sydney Elizabeth Disselkamp Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890188338
PECOS Enrollment IDI20220803001952
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sydney Disselkamp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kootenai Health, Inc.
0.1 mi
Psychiatry
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 472 clinicians in this Medicare group
NPI 1174661151 (208) 625-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
74 services58 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
30 services30 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BREE FERGUSON
Physician Assistant (Medical)
700 W IRONWOOD DR STE 378
COEUR D ALENE, ID 83814
Kootenai County (208) 625-3555
DR. AMANDA ROSE LIGGETT M.D.
Internal Medicine (Pulmonary Disease)
700 W IRONWOOD DR STE 378
COEUR D ALENE, ID 83814
Kootenai County (208) 625-3555
DR. ROBERT SCOGGINS M.D., PH.D.
Internal Medicine (Pulmonary Disease)
700 W IRONWOOD DR STE 378
COEUR D ALENE, ID 83814
Kootenai County (208) 765-1252
FORREST JESPERSEN MD
Internal Medicine (Pulmonary Disease)
700 W IRONWOOD DR STE 378
COEUR D ALENE, ID 83814
Kootenai County (208) 625-3555
TODD CHRISTIAN HOOPMAN MD
Internal Medicine (Pulmonary Disease)
700 W IRONWOOD DR STE 378
COEUR D ALENE, ID 83814
Kootenai County (208) 765-1252
JEANNETTE ZINGGELER BERG MD, PHD
Internal Medicine (Pulmonary Disease)
700 W IRONWOOD DR STE 378
COEUR D ALENE, ID 83814
Kootenai County (208) 765-1252
CHAD T BRIZENDINE MD
Internal Medicine (Pulmonary Disease)
700 W IRONWOOD DR STE 378
COEUR D ALENE, ID 83814
Kootenai County (208) 625-3555
BRYAN WILLIAM GARRETT ARNP
Nurse Practitioner (Critical Care Medicine)
700 W IRONWOOD DR STE 378
COEUR D ALENE, ID 83814
Kootenai County (208) 625-3555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sydney Disselkamp's NPI number?

The NPI number for Sydney Disselkamp is 1023604089. It was assigned to this individual provider in the NPPES registry on December 14, 2020. The provider is also known as Sydney Elizabeth Ciembor.

Where is Sydney Disselkamp located?

Sydney Disselkamp practices at 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814. The listed phone number is (208) 625-3555.

What is Sydney Disselkamp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sydney Disselkamp enrolled in Medicare?

Yes. Sydney Disselkamp is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sydney Disselkamp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sydney Disselkamp reassigns Medicare benefits to Kootenai Health, Inc. (Coeur D Alene, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sydney Disselkamp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sydney Disselkamp accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sydney Disselkamp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sydney Disselkamp affiliated with any hospitals?

According to CMS data, Sydney Disselkamp is affiliated with Kootenai Health.

When was this NPI record last updated?

The NPPES record for Sydney Disselkamp was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.