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BEACON CLINIC
NPI 1407335367
Clinic/Center - Multi-Specialty in Coeur D Alene, ID

Active since August 11, 2018CLIA Certified · 2 labs
3815 N SCHREIBER WAY STE 101, COEUR D ALENE, ID 83815(208) 755-2804(208) 765-0277 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 25, 2023, Jul 29, 2023, Mar 24, 2023 and 7 more (10 updates tracked since 2018).

About Beacon Clinic NPPES

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

BEACON CLINIC (NPI 1407335367) is a healthcare organization registered as a multi-specialty in Coeur D Alene, Idaho and active in the NPI registry since August 2018. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists David Cadwell Bartels, Owner, as its authorized official.

NPPES Registry Identity

NPI1407335367
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameBEACON CANCER CARE PLLC
Location Address3815 N SCHREIBER WAY STE 101Coeur D Alene, ID 83815-8362
Mailing Address3815 N Schreiber Way Ste 101Coeur D Alene, ID 83815-8362 · (208) 755-2804 · Fax (208) 765-0277
Phone(208) 755-2804
Fax(208) 765-0277
Organization SubpartNo
Authorized OfficialDavid Cadwell BartelsOwner · (208) 775-2804
Enumeration DateAugust 11, 2018
Last NPPES UpdateAugust 25, 202310 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
✔ NPI 1407335367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
Also ListedClinic/Center · OncologyTaxonomy 261QX0200X
Also ListedClinic/Center · Oncology, RadiationTaxonomy 261QX0203X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3815 N SCHREIBER WAY STE 101, Coeur D Alene, ID 83815
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Other Names 2

Doing Business AsBeacon Clinic
Other NameBeacon Rheumatology

Secondary Practice Locations 2

Location 11641 E Polston Ave Ste 102Post Falls, ID 83854-7852 · Phone (208) 755-2804 · Fax (208) 765-0277
Location 2229 S 7th StSt Maries, ID 83861-1803 · Phone (208) 755-2804 · Fax (208) 765-0277

Other Identifiers 2

Medicaid1407335367ID
Medicaid2107483WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.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)

Beacon Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Beacon Clinic, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 14 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 7

Nurse Practitioner6
Hematology/Oncology3
Radiation Oncology3
Diagnostic Radiology2
Medical Oncology2
Rheumatology2
Urology2

Clinicians, nearest first (20)

David Bartels, DO
Hematology/Oncology
NPI 1245492768
3815 N SCHREIBER WAY UNIT 101
Coeur D Alene, ID 83815
(208) 755-2804
✔ PECOS✔ Accepts MedicareSame address
Dustin Dinning, DO
Rheumatology
NPI 1578774022
3815 N SCHREIBER WAY STE 101
Coeur D Alene, ID 83815
(208) 758-0920
✔ PECOS✔ Accepts MedicareSame address
Lacy Engelstad, NP
Nurse Practitioner
NPI 1427712181
3815 N SCHREIBER WAY UNIT 101
Coeur D Alene, ID 83815
(208) 758-0920
✔ PECOS✔ Accepts MedicareSame address
Howard Kenney, M.D.
Rheumatology
NPI 1780754671
3815 N SCHREIBER WAY UNIT 101
Coeur D Alene, ID 83815
(208) 755-2804
✔ PECOS✔ Accepts MedicareSame address
Andrew Kominsky, MD
Medical Oncology
NPI 1265478697
3815 N SCHREIBER WAY UNIT 101
Coeur D Alene, ID 83815
(208) 755-2804
✔ PECOS✔ Accepts MedicareSame address
Rebecca Meyer, APRN, CNP
Nurse Practitioner
NPI 1154072825
3815 N SCHREIBER WAY UNIT 101
Coeur D Alene, ID 83815
(208) 755-2804
✔ PECOS✔ Accepts MedicareSame address
Amanda Wood, DNP
Nurse Practitioner
NPI 1801440102
3815 N SCHREIBER WAY UNIT 101
Coeur D Alene, ID 83815
(208) 755-2804
✔ PECOS✔ Accepts MedicareSame address
Philip Dougherty, MD
Diagnostic Radiology
NPI 1750647913
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6300
✔ PECOS✔ Accepts Medicare1.5 mi
David Moody, MD
Diagnostic Radiology
NPI 1902808793
700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814
(208) 625-6309
✔ PECOS✔ Accepts Medicare1.5 mi
David Boyce
Radiation Oncology
NPI 1265961908
1641 E POLSTON AVE STE 102
Post Falls, ID 83854
(208) 755-2804
✔ PECOS✔ Accepts Medicare5.7 mi
Gretchen Helvey, MSN, AGNP-C
Nurse Practitioner
NPI 1790485266
1641 E POLSTON AVE STE 102
Post Falls, ID 83854
(208) 755-2804
✔ PECOS✔ Accepts Medicare5.7 mi
Jonathan Sharrett, DO
Radiation Oncology
NPI 1275910960
1641 E POLSTON AVE STE 102
Post Falls, ID 83854
(208) 755-2804
✔ PECOS✔ Accepts Medicare5.7 mi
Stephanie Hart, ARNP
Nurse Practitioner
NPI 1659692200
1641 E POLSTON AVE STE 102
Post Falls, ID 83854
(208) 755-2804
✔ PECOS✔ Accepts Medicare5.7 mi
Danko Martincic, MD
Hematology/Oncology
NPI 1124071592
1641 E POLSTON AVE STE 102
Post Falls, ID 83854
(208) 755-2804
✔ PECOS✔ Accepts Medicare5.7 mi
Carl Walker, MD
Urology
NPI 1053301440
1401 E TRENT AVE # 200
Spokane, WA 99202
(509) 747-3147
✔ PECOS✔ Accepts Medicare28 mi
Linda Grossheim, MD
Radiation Oncology
NPI 1548211360
910 W 5TH AVE STE 102B
Spokane, WA 99204
(509) 755-5783
✔ PECOS✔ Accepts Medicare29 mi
Jessica Herr, FNP
Nurse Practitioner
NPI 1619385119
8854 W EMERALD ST STE 260
Boise, ID 83704
(208) 755-2804
✔ PECOS✔ Accepts Medicare284 mi
Cannon Milani, MD
Medical Oncology
NPI 1811212491
8950 W EMERALD ST STE 108
Boise, ID 83704
(208) 755-2804
✔ PECOS✔ Accepts Medicare284 mi
Ian Udell, MD
Urology
NPI 1396065223
931 HIGHLAND BLVD STE 3360
Bozeman, MT 59715
(406) 414-5000
✔ PECOS✔ Accepts Medicare309 mi
Natasha Waterland
Hematology/Oncology
NPI 1548759517
410 W. 10TH AVENUE
Columbus, OH 43210
(614) 293-9869
✔ PECOS✔ Accepts Medicare1,754 mi

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 2

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 Compliance 13D2231041

Beacon Cancer Care, PLLC · Coeur D Alene, ID
Active · expires Feb 9, 2028
CLIA Number13D2231041
Laboratory TypePhysician Office
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorDavid C. Bartels
Laboratory Phone(208) 755-2804
Laboratory LocationBeacon Cancer Care, PLLC3815 N Schreiber Way Ste 101, Coeur D Alene, ID 83815
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 13D2314825

Beacon Clinic · Post Falls, ID
Active · expires Mar 13, 2027
CLIA Number13D2314825
Laboratory TypePhysician Office
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorDavid C. Bartels
Laboratory Phone(208) 755-2804
Laboratory LocationBeacon Clinic1641 E Polston Ave Ste 102, Post Falls, ID 83854
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Beacon Cancer Care PLLC's NPI number?

The NPI number for Beacon Cancer Care PLLC is 1407335367. It was assigned to this organization in the NPPES registry on August 11, 2018. The provider is doing business as Beacon Clinic. The provider is also known as Beacon Rheumatology.

Where is Beacon Cancer Care PLLC located?

Beacon Cancer Care PLLC is located at 3815 N Schreiber Way Ste 101, Coeur D Alene, ID 83815. The listed phone number is (208) 755-2804.

What is Beacon Cancer Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Beacon Cancer Care PLLC enrolled in Medicare?

Yes. Beacon Cancer Care PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beacon Cancer Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 7 Medicare specialties reassign their Medicare billing to Beacon Cancer Care 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 Nurse Practitioner (6), Hematology/Oncology (3) and Radiation Oncology (3). Of these, 7 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Beacon Cancer Care PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Beacon Cancer Care PLLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 34 other insurers list Beacon Cancer Care 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 Beacon Cancer Care PLLC was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.