JENNIFER RAAE-NIELSEN MD
NPI 1023671062
Emergency Medicine in Burley, ID
About Jennifer Raae-nielsen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER RAAE-NIELSEN MD (NPI 1023671062) is an individual emergency medicine provider in Burley, Idaho, licensed in Washington (MD61478134) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted 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
Jennifer Raae-nielsen Md 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.
Medicare Billing Reassignments
11Medicare enrollment records show Jennifer Raae-nielsen reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Burley, ID 83318
- Reassigned Medicare billing, Idaho enrollment
- 109 clinicians in this Medicare group
Colfax, WA 99111
- Reassigned Medicare billing, Washington enrollment
- 85 clinicians in this Medicare group
Coeur D Alene, ID 83814
- Reassigned Medicare billing, Idaho enrollment
- 472 clinicians in this Medicare group
Spokane, WA 99204
- Reassigned Medicare billing, Washington enrollment
- 66 clinicians in this Medicare group
Truckee, CA 96161
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1598534216 (California)
- 2,323 clinicians in this Medicare group
Chewelah, WA 99109
- Reassigned Medicare billing, Washington enrollment
- Also billed through NPI 1750532321 (Washington)
- 27 clinicians in this Medicare group
Las Vegas, NV 89106
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Colville, WA 99114
- Reassigned Medicare billing, Washington enrollment
- Also billed through NPI 1003067679 (Washington)
- 44 clinicians in this Medicare group
Brewster, WA 98812
- Reassigned Medicare billing, Washington enrollment
- Also billed through NPI 1043363591 (Washington)
- 238 clinicians in this Medicare group
Upland, CA 91786
- Reassigned Medicare billing, California enrollment
- 103 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kootenai Health
Acute Care Hospitals · Coeur D'alene, IDProv Sacred Hrt Med Ctr & Childs Hosp.
Acute Care Hospitals · Spokane, WAProvidence Mount Carmel Hospital
Critical Access Hospitals · Colville, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83318 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BURLEY, ID 83318
BURLEY, ID 83318
BURLEY, ID 83318
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 Jennifer Raae-nielsen's NPI number?
The NPI number for Jennifer Raae-nielsen is 1023671062. It was assigned to this individual provider in the NPPES registry on April 16, 2019.
Where is Jennifer Raae-nielsen located?
Jennifer Raae-nielsen practices at 1501 Hiland Ave, Burley, ID 83318. The listed phone number is (516) 593-1380.
What is Jennifer Raae-nielsen's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jennifer Raae-nielsen enrolled in Medicare?
Yes. Jennifer Raae-nielsen 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 organizations bill Medicare for Jennifer Raae-nielsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Raae-nielsen reassigns Medicare benefits to 11 organizations: Ihc Health Services Inc (Burley, ID), Public Hospital District No 3 Of Whitman County (Colfax, WA), Kootenai Health, Inc. (Coeur D Alene, ID), Spokane Emergency Physicians, Ps (Spokane, WA), Cep America - California (Truckee, CA) and 6 more organizations, listed in the Medicare section above. Each 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 Jennifer Raae-nielsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Raae-nielsen accept?
Health plans from Blue Cross Blue Shield of Arizona and Premera Blue Cross Blue Shield of Alaska list Jennifer Raae-nielsen 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 Jennifer Raae-nielsen affiliated with any hospitals?
According to CMS data, Jennifer Raae-nielsen is affiliated with Kootenai Health, Prov Sacred Hrt Med Ctr & Childs Hosp. and Providence Mount Carmel Hospital.
When was this NPI record last updated?
The NPPES record for Jennifer Raae-nielsen was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jennifer Raae-Nielsen, MD · NPI 1023671062
Emergency Medicine physician in Burley, Idaho. Individual provider, active in the CMS NPPES registry since April 16, 2019.
## Identity
- **NPI:** 1023671062 (Entity type: Individual)
- **Enumerated:** April 16, 2019
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD61478134 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1501 HILAND AVE, Burley, ID 83318-2688
- **Phone:** (516) 593-1380 · **Fax:** (516) 320-8983
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Ihc Health Services Inc (NPI 1043324585, Burley, ID); Public Hospital District No 3 Of Whitman County (NPI 1922009448, Colfax, WA); Kootenai Health, Inc. (NPI 1174661151, Coeur D Alene, ID); Spokane Emergency Physicians, Ps (NPI 1235147117, Spokane, WA); Cep America - California (NPI 1336492446, Truckee, CA); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Western Michigan Un Homer Stryker School Of Med, class of 2019
## Record status
- **NPPES last updated:** August 26, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1023671062) · Data from the CMS NPPES public registry.