IRONWOOD FAMILY PRACTICE, PA
NPI 1083650931
Family Medicine in Coeur D Alene, ID
About Ironwood Family Practice, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IRONWOOD FAMILY PRACTICE, PA (NPI 1083650931) is a healthcare organization registered as a family medicine in Coeur D Alene, Idaho and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through March 1, 2027 and lists Nina Ruth Everson, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Ironwood Family Practice, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Ironwood Family Practice, PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 15 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (15)
Coeur D Alene, ID 83815
Coeur D Alene, ID 83815
Coeur D Alene, ID 83815
Coeur D Alene, ID 83815
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 for Provider-Performed Microscopy Procedures (PPMP) 13D0679680
Ironwood Family Practice · Coeur D Alene, IDFrequently 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 Ironwood Family Practice, PA's NPI number?
The NPI number for Ironwood Family Practice, PA is 1083650931. It was assigned to this organization in the NPPES registry on June 21, 2006.
Where is Ironwood Family Practice, PA located?
Ironwood Family Practice, PA is located at 3815 N Schreiber Way Unit 102, Coeur D Alene, ID 83815. The listed phone number is (208) 667-4557.
What is Ironwood Family Practice, PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ironwood Family Practice, PA enrolled in Medicare?
Yes. Ironwood Family Practice, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ironwood Family Practice, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Ironwood Family Practice, PA. 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 Family Practice (9), Nurse Practitioner (5) and Psychiatry (1). Of these, 4 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ironwood Family Practice, PA hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0679680) is associated with this NPI, valid through March 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ironwood Family Practice, PA accept?
Health plans from Molina Healthcare list Ironwood Family Practice, PA 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 Ironwood Family Practice, PA was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Ironwood Family Practice, Pa · NPI 1083650931
Family Medicine organization in Coeur D Alene, Idaho. Organization record, active in the CMS NPPES registry since June 21, 2006.
## Identity
- **NPI:** 1083650931 (Entity type: Organization)
- **Enumerated:** June 21, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Nina Everson, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 3815 N SCHREIBER WAY UNIT 102, Coeur D Alene, ID 83815-8434
- **Phone:** (208) 667-4557 · **Fax:** (208) 765-2887
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (9), Nurse Practitioner (5), Psychiatry (1); 4 practice at this address and 15 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 10, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083650931) · Data from the CMS NPPES public registry.