MARIAH PETERSEN APP
NPI 1336938752
Nurse Practitioner - Primary Care in Coeur D Alene, ID
About Mariah Petersen App NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIAH PETERSEN APP (NPI 1336938752) is an individual primary care provider in Coeur D Alene, Idaho, licensed in Idaho (8771254) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains a secondary practice location in Coeur D Alene.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mariah Petersen App 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kootenai Health
Acute Care Hospitals · Coeur D'alene, IDPhysician 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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
COEUR D ALENE, ID 83814
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336938752, enumerated as an "individual" on May 02, 2025.
The provider is located at 1919 LINCOLN WAY STE 415 COEUR D ALENE, ID 83814 and the phone number is (208) 625-4595.
Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.
Mariah Petersen is affiliated with: KOOTENAI HEALTH.
