1. Home
  2. Directory
  3. Idaho
  4. Coeur D Alene
  5. Specialist
  6. NPI Profile

MR. FREDRICK MARK OWSLEY M.D.
NPI 1265413017
Specialist in Coeur D Alene, ID

Active since November 09, 2005Opted out of Medicare · through Jan 1, 2027
980 W IRONWOOD DR, STE 206, COEUR D ALENE, ID 83814(208) 664-0165(208) 664-5695 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Fredrick Mark Owsley M.d. NPPES

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

MR. FREDRICK MARK OWSLEY M.D. (NPI 1265413017) is an individual specialist in Coeur D Alene, Idaho, licensed in Idaho (M6701) and active in the NPI registry since November 2005. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265413017
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. FREDRICK MARK OWSLEYCredential: M.D.
Location Address980 W IRONWOOD DR, STE 206Coeur D Alene, ID 83814-2668
Mailing Address980 W Ironwood Dr, Ste 206Coeur D Alene, ID 83814-2668 · (208) 664-0165 · Fax (208) 664-5695
Phone(208) 664-0165
Fax(208) 664-5695
Sole ProprietorYes
Enumeration DateNovember 9, 2005
Last NPPES UpdateSeptember 16, 2015
✔ NPI 1265413017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in ID · M6701
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
980 W IRONWOOD DR, Coeur D Alene, ID 83814
Open in Google Maps ↗

Other Identifiers 3

Medicaid002781300ID
Medicare PIN20006703ID
Medicare UPING05204ID

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Fredrick Mark Owsley M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2019 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2019
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

LAKESIDE PEDIATRIC & ADOLESCENT MEDICINE, PLLC
Pediatrics (Adolescent Medicine)
980 W IRONWOOD DR, STE 302
COEUR D'ALENE, ID 83814
Kootenai County (208) 292-5437
MARSTON T WESTBROOK , DDS, LLC
Dentist (Oral and Maxillofacial Surgery)
980 W IRONWOOD DR, SUITE 301
COEUR D ALENE, ID 83814
Kootenai County (208) 664-0844
ROY RANDEL HENNEBERG MD
Specialist
980 W IRONWOOD DR, SUITE 304
COEUR D ALENE, ID 83814
Kootenai County (208) 765-4888
MR. STEVEN I JESSUP M.A. LIC. ATC
Specialist/Technologist (Athletic Trainer)
980 W IRONWOOD DR, SUITE 207
COEUR D ALENE, ID 83814
Kootenai County (208) 770-2971
MATTHEW DAVID MCLAUGHLIN D.O.
Urology
980 W IRONWOOD DR, STE 104
COEUR D ALENE, ID 83814
Kootenai County (208) 667-0621
RONDA LYNN WILLIAMSON CNM
Advanced Practice Midwife
980 W IRONWOOD DR, STE 306
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4970
MRS. SUZANNE KALEN EPPERSON ARNP-CNM
Midwife
980 W IRONWOOD DR
COEUR D ALENE, ID 83814
Kootenai County (208) 765-4888
APPLE FAMILY CARE PLLC
Family Medicine
980 W IRONWOOD DR, SUITE 201
COEUR D ALENE, ID 83814
Kootenai County (208) 292-1315

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 Fredrick Owsley's NPI number?

The NPI number for Fredrick Owsley is 1265413017. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Fredrick Owsley located?

Fredrick Owsley practices at 980 W Ironwood Dr Ste 206, Coeur D Alene, ID 83814. The listed phone number is (208) 664-0165.

What is Fredrick Owsley's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Fredrick Owsley enrolled in Medicare?

No. Fredrick Owsley has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Fredrick Owsley was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.