KRISTA TICKEMYER FNP
NPI 1114393618
Nurse Practitioner in Coeur D Alene, ID

Active since August 19, 2015PECOS EnrolledAccepts Medicare Assignment
94.91/100
CMS Quality Rating
1919 LINCOLN WAY STE 415, COEUR D ALENE, ID 83814(208) 625-4595(208) 625-4596 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 16, 2024, Oct 2, 2020, Jan 15, 2019 (3 updates tracked since 2019).

About Krista Tickemyer Fnp NPPES

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

KRISTA TICKEMYER FNP (NPI 1114393618) is an individual nurse practitioner in Coeur D Alene, Idaho, licensed in Idaho (N-40239) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains a secondary practice location in Coeur D'alene.

NPPES Registry Identity

NPI1114393618
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRISTA TICKEMYERCredential: FNP
Location Address1919 LINCOLN WAY STE 415Coeur D Alene, ID 83814
Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 625-5059 · Fax (208) 625-5731
Fax(208) 625-4596
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 19, 2015
Last NPPES UpdateJuly 25, 20253 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
NPI 1114393618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in ID · N-40239
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.

Also ListedRegistered NurseTaxonomy 163W00000X · License N-35924 (ID)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NP-1596A (ID)
1919 LINCOLN WAY STE 415, Coeur D Alene, ID 83814

Secondary Practice Location 1

Location 11090 W. Park PlaceCoeur d'Alene, ID 83814 · Phone (208) 292-0292 · Fax (208) 292-0705

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Krista Tickemyer 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 ID9638487143
PECOS Enrollment IDI20151002001530
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.

Areas of Expertise CMS Part B claims 4

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.
263 services183 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.
97 services84 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Northwest Specialty Hospital

Acute Care Hospitals · Post Falls, ID
OwnershipProprietary
CMS Certification Number130066
Location1593 East Polston AvenuePost Falls, ID 83854 · Kootenai County

Benewah Community Hospital

Critical Access Hospitals · St Maries, ID
OwnershipGovernment - Local
CMS Certification Number131317
Location229 South 7th StreetSt Maries, ID 83861 · Benewah County
Emergency services

Bonner General Hospital

Critical Access Hospitals · Sandpoint, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131328
Location520 North Third AvenueSandpoint, ID 83864 · Bonner County
Emergency services

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.

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.

94.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Gastroenterology)
1919 LINCOLN WAY STE 415
COEUR D ALENE, ID 83814
Nurse Practitioner
1919 LINCOLN WAY STE 415
COEUR D ALENE, ID 83814
Internal Medicine (Gastroenterology)
1919 LINCOLN WAY STE 415
COEUR D ALENE, ID 83814
Nurse Practitioner (Primary Care)
1919 LINCOLN WAY STE 415
COEUR D ALENE, ID 83814
Internal Medicine (Gastroenterology)
1919 LINCOLN WAY STE 415
COEUR D ALENE, ID 83814
Physician Assistant
1919 LINCOLN WAY STE 415
COEUR D ALENE, ID 83814
Internal Medicine (Gastroenterology)
1919 LINCOLN WAY STE 415
COEUR D ALENE, ID 83814
Internal Medicine (Gastroenterology)
1919 LINCOLN WAY STE 415
COEUR D ALENE, ID 83814

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 Krista Tickemyer's NPI number?

The NPI number for Krista Tickemyer is 1114393618. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Where is Krista Tickemyer located?

Krista Tickemyer practices at 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814. The listed phone number is (208) 625-4595.

What is Krista Tickemyer's specialty?

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

Is Krista Tickemyer enrolled in Medicare?

Yes. Krista Tickemyer 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.

What insurance does Krista Tickemyer accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Krista Tickemyer 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 Krista Tickemyer affiliated with any hospitals?

According to CMS data, Krista Tickemyer is affiliated with Kootenai Health, Northwest Specialty Hospital, Benewah Community Hospital and Bonner General Hospital.

When was this NPI record last updated?

The NPPES record for Krista Tickemyer was last updated on July 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.