COEUR VITALITY PLLC
NPI 1316574700
Clinic/Center in Coeur D Alene, ID
About Coeur Vitality Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COEUR VITALITY PLLC (NPI 1316574700) is a healthcare organization registered as a clinic/center in Coeur D Alene, Idaho and active in the NPI registry since March 2020. The organization holds a CLIA Microscopy certificate valid through June 17, 2028 and lists Brittany Burns, Owner, 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)
Coeur Vitality Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Coeur Vitality PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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) 13D2186543
Coeur Vitality PLLC · 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 Coeur Vitality PLLC's NPI number?
The NPI number for Coeur Vitality PLLC is 1316574700. It was assigned to this organization in the NPPES registry on March 25, 2020.
Where is Coeur Vitality PLLC located?
Coeur Vitality PLLC is located at 110 E Wallace Ave, Coeur D Alene, ID 83814. The listed phone number is (208) 651-9791.
What is Coeur Vitality PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Coeur Vitality PLLC enrolled in Medicare?
Yes. Coeur Vitality PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coeur Vitality PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Coeur Vitality PLLC. 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 (3) and Nurse Practitioner (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Coeur Vitality PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D2186543) is associated with this NPI, valid through June 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Coeur Vitality PLLC accept?
Health plans from Molina Healthcare list Coeur Vitality PLLC 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 Coeur Vitality PLLC was last updated on August 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Coeur Vitality Pllc · NPI 1316574700
Clinic/Center organization in Coeur D Alene, Idaho. Organization record, active in the CMS NPPES registry since March 25, 2020.
## Identity
- **NPI:** 1316574700 (Entity type: Organization)
- **Enumerated:** March 25, 2020
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Brittany Burns, OWNER
## Practice location
- **Address:** 110 E WALLACE AVE, Coeur D Alene, ID 83814-2948
- **Phone:** (208) 651-9791
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (3), Nurse Practitioner (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 17, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316574700) · Data from the CMS NPPES public registry.