NORTH IDAHO PAIN CENTER LLC
NPI 1104896422
Clinic/Center - Ambulatory Surgical in Coeur D Alene, ID

Q: What is North Idaho Pain Center LLC's NPI number?

The NPI number for North Idaho Pain Center LLC is 1104896422. It was assigned to this organization in the NPPES registry on January 26, 2006.

Q: What is North Idaho Pain Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since January 26, 2006CLIA 13D2031122 · Waiver

1686 W RIVERSTONE DR STE 2, COEUR D ALENE, ID 83814(208) 765-4807(208) 765-2903 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2025, Mar 14, 2023, Sep 29, 2016 (3 updates tracked since 2016).

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About North Idaho Pain Center Llc NPPES

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

NORTH IDAHO PAIN CENTER LLC (NPI 1104896422) is a healthcare organization registered as an ambulatory surgical in Coeur D Alene, Idaho and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through October 12, 2027 and lists Tina Marie Botai, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1104896422

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameNORTH IDAHO PAIN CENTER LLC

Location Address1686 W RIVERSTONE DR STE 2Coeur D Alene, ID 83814-5779

Mailing Address1686 W Riverstone Dr, Ste 2Coeur D Alene, ID 83814-5779 · (208) 765-4807 · Fax (208) 765-2903

Phone(208) 765-4807

Fax(208) 765-2903

Organization SubpartNo

Authorized OfficialTina Marie BotaiPractice Administrator · (208) 765-4807

Enumeration DateJanuary 26, 2006

Last NPPES UpdateJune 26, 20253 updates tracked since enumeration

NPPES CertifiedJune 26, 2025

✔ NPI 1104896422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in ID · 13C0001058

1686 W RIVERSTONE DR STE 2, Coeur D Alene, ID 83814

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Accepted Insurance

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

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 13D2031122

North Idaho Pain Center · Coeur D'alene, ID

Active · expires Oct 12, 2027

CLIA Number13D2031122

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 13, 2025

Certificate Expiration DateOctober 12, 2027

Laboratory DirectorScott Magnuson

Laboratory Phone(208) 765-4807

Laboratory LocationNorth Idaho Pain Center1686 W Riverstone Dr, Coeur D'alene, ID 83814

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 12

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.

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

335 services141 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

208 services65 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

201 services158 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

177 services111 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

130 services62 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

78 services55 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

57 services22 patients

Insertion of spinal neurostimulator electrode array through skin 63650

This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.

51 services17 patients

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint 64633

This procedure involves the use of imaging technology to guide a needle to the nerves of a single facet joint in the upper or middle spine. The nerves are then treated to alleviate pain and improve mobility.

44 services26 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

17 services15 patients

Insertion or replacement of spinal neurostimulator generator or receiver 63685

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

17 services17 patients

Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin 0275T

This procedure involves removing a small portion of bone from your lower spine. The goal is to relieve pressure on your nerve tissue, improving comfort and mobility. It is done through the skin using imaging technology to ensure precision and safety.

15 services14 patients

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 North Idaho Pain Center LLC's NPI number?

The NPI number for North Idaho Pain Center LLC is 1104896422. It was assigned to this organization in the NPPES registry on January 26, 2006.

Where is North Idaho Pain Center LLC located?

North Idaho Pain Center LLC is located at 1686 W Riverstone Dr Ste 2, Coeur D Alene, ID 83814. The listed phone number is (208) 765-4807.

What is North Idaho Pain Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does North Idaho Pain Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2031122) is associated with this NPI, valid through October 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Idaho Pain Center LLC accept?

Health plans from PacificSource Health Plans and Providence Health Plan list North Idaho Pain Center 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 North Idaho Pain Center LLC was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.