JESSICA AUBRY GREENSIDES NP
NPI 1689469991
Nurse Practitioner in Coeur D Alene, ID
About Jessica Aubry Greensides Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA AUBRY GREENSIDES NP (NPI 1689469991) is an individual nurse practitioner in Coeur D Alene, Idaho, licensed in Idaho (8371858) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains a secondary practice location in Post Falls.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jessica Aubry Greensides Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Greensides reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coeur D Alene, ID 83814
- Reassigned Medicare billing, Idaho enrollment
- 472 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kootenai Health
Acute Care Hospitals · Coeur D'alene, IDBonner General Hospital
Critical Access Hospitals · Sandpoint, 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jessica Greensides's NPI number?
The NPI number for Jessica Greensides is 1689469991. It was assigned to this individual provider in the NPPES registry on April 9, 2025.
Where is Jessica Greensides located?
Jessica Greensides practices at 1919 Lincoln Way Ste 110, Coeur D Alene, ID 83814. The listed phone number is (208) 625-4515.
What is Jessica Greensides's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jessica Greensides enrolled in Medicare?
Yes. Jessica Greensides is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jessica Greensides's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Greensides reassigns Medicare benefits to Kootenai Health, Inc. (Coeur D Alene, ID). The 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 Jessica Greensides's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jessica Greensides accept?
Health plans from Ambetter Health, Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Jessica Greensides 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.
Is Jessica Greensides affiliated with any hospitals?
According to CMS data, Jessica Greensides is affiliated with Kootenai Health and Bonner General Hospital.
When was this NPI record last updated?
The NPPES record for Jessica Greensides was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Jessica Aubry Greensides, NP · NPI 1689469991
Nurse Practitioner physician in Coeur D Alene, Idaho. Individual provider, active in the CMS NPPES registry since April 9, 2025.
## Identity
- **NPI:** 1689469991 (Entity type: Individual)
- **Enumerated:** April 9, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 8371858 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1919 LINCOLN WAY STE 110, Coeur D Alene, ID 83814-2527
- **Phone:** (208) 625-4515
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kootenai Health, Inc. (NPI 1174661151, Coeur D Alene, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689469991) · Data from the CMS NPPES public registry.