ASC NORTHWEST LLC
NPI 1033712781
Clinic/Center - Ambulatory Surgical in Coeur D Alene, ID
About Asc Northwest Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASC NORTHWEST LLC (NPI 1033712781) is a healthcare organization registered as an ambulatory surgical in Coeur D Alene, Idaho and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through September 1, 2027 and lists Kellie Carter, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Asc Northwest Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to ASC Northwest LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 13D2234793
ASC Northwest · Coeur D'alene, IDAreas 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.
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 ASC Northwest LLC's NPI number?
The NPI number for ASC Northwest LLC is 1033712781. It was assigned to this organization in the NPPES registry on November 17, 2020.
Where is ASC Northwest LLC located?
ASC Northwest LLC is located at 850 W Ironwood Dr Ste B-101, Coeur D Alene, ID 83814. The listed phone number is (208) 667-1376.
What is ASC Northwest LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is ASC Northwest LLC enrolled in Medicare?
Yes. ASC Northwest LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through ASC Northwest LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to ASC Northwest LLC. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (11) and Nurse Practitioner (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does ASC Northwest LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 13D2234793) is associated with this NPI, valid through September 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does ASC Northwest LLC accept?
Health plans from Molina Healthcare, PacificSource Health Plans and Providence Health Plan list ASC Northwest LLC 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.
When was this NPI record last updated?
The NPPES record for ASC Northwest LLC was last updated on April 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Asc Northwest Llc · NPI 1033712781
Ambulatory Surgical organization in Coeur D Alene, Idaho. Organization record, active in the CMS NPPES registry since November 17, 2020.
## Identity
- **NPI:** 1033712781 (Entity type: Organization)
- **Enumerated:** November 17, 2020
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Kellie Carter, PRACTICE MANAGER
## Practice location
- **Address:** 850 W IRONWOOD DR STE B-101, Coeur D Alene, ID 83814-4903
- **Phone:** (208) 667-1376
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (11), Nurse Practitioner (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1033712781) · Data from the CMS NPPES public registry.