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HAILEY J ROSE DO
NPI 1679702088
Pediatrics in Bonners Ferry, ID

Active since July 07, 2009PECOS Enrolled
6615 COMANCHE ST, KANIKSU HEALTH SERVICES, BONNERS FERRY, ID 83805(208) 267-1718(208) 267-9197 Get Directions Write a Review

NPPES record last updated: September 14, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hailey J Rose Do NPPES

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

HAILEY J ROSE DO (NPI 1679702088) is an individual pediatrics provider in Bonners Ferry, Idaho, licensed in South Carolina (LL1272) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679702088
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameHAILEY J ROSECredential: DO
Location Address6615 COMANCHE ST, KANIKSU HEALTH SERVICESBonners Ferry, ID 83805
Mailing AddressPo Box Q, Kaniksu Health ServicesBonners Ferry, ID 83805-1200 · (208) 267-1718 · Fax (208) 267-9197
Phone(208) 267-1718
Fax(208) 267-9197
Sole ProprietorNo
Enumeration DateJuly 7, 2009
Last NPPES UpdateSeptember 14, 2012
✔ NPI 1679702088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · LL1272
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6615 COMANCHE ST, Bonners Ferry, ID 83805
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Other Names 1

Former Name (1)Hailey J Larson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hailey J Rose Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83805 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.

Other Providers at the Same Location NPPES 6

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

EMILEE EDE DDS
Dentist
6615 COMANCHE ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-1718
BOUNDARY REGIONAL COMMUNITY HEALTH CENTER INC
Clinic/Center (Federally Qualified Health Center (FQHC))
6615 COMANCHE ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-1718
MONA KIM-BROWN LCPC
Counselor (Professional)
6615 COMANCHE ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-1718
JORDAN THOMAS LAUBY PA-C
Physician Assistant
6615 COMANCHE ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-1718
KENDELL ANN SIMM PA-C
Physician Assistant
6615 COMANCHE ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-1718
DR. LIGEIA A REINHARDT M.D.
Family Medicine
6615 COMANCHE ST
BONNERS FERRY, ID 83805
Boundary County (208) 267-1718

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 Hailey Rose's NPI number?

The NPI number for Hailey Rose is 1679702088. It was assigned to this individual provider in the NPPES registry on July 7, 2009. The provider is also known as Hailey J Larson.

Where is Hailey Rose located?

Hailey Rose practices at 6615 Comanche St Kaniksu Health Services, Bonners Ferry, ID 83805. The listed phone number is (208) 267-1718.

What is Hailey Rose's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Hailey Rose enrolled in Medicare?

Yes. Hailey Rose is registered in the Medicare PECOS enrollment system.

What insurance does Hailey Rose accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Hailey Rose 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 Hailey Rose was last updated on September 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.