ANDREW ANTHONY HENNEBERG MD
NPI 1689603847
Obstetrics & Gynecology in Coeur D Alene, ID

Q: What is Andrew Henneberg's NPI number?

The NPI number for Andrew Henneberg is 1689603847. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Q: What is Andrew Henneberg's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Henneberg was last updated on May 14, 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.

Active since July 01, 2006PECOS EnrolledAccepts Medicare Assignment

980 W IRONWOOD DR, SUITE 201, COEUR D ALENE, ID 83814(208) 765-4888(208) 667-8618 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2020, Jun 14, 2017 (2 updates tracked since 2017).

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About Andrew Anthony Henneberg Md NPPES

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

ANDREW ANTHONY HENNEBERG MD (NPI 1689603847) is an individual obstetrics & gynecology provider in Coeur D Alene, Idaho, licensed in Idaho (M-9485) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains a secondary practice location in Coeur D Alene.

NPPES Registry Identity

NPI1689603847

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameANDREW ANTHONY HENNEBERGCredential: MD

Location Address980 W IRONWOOD DR, SUITE 201Coeur D Alene, ID 83814

Mailing Address980 W Ironwood Dr, Suite 201Coeur D Alene, ID 83814 · (208) 765-4888 · Fax (208) 667-8618

Phone(208) 765-4888

Fax(208) 667-8618

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2002

Enumeration DateJuly 1, 2006

Last NPPES UpdateMay 14, 20202 updates tracked since enumeration

NPPES CertifiedMay 14, 2020

✔ NPI 1689603847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in ID · M-9485

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedSpecialistTaxonomy 174400000X · License M-9485 (ID)

980 W IRONWOOD DR, Coeur D Alene, ID 83814

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Secondary Practice Location 1

Location 1980 W IRONWOOD DR, SUITE 304COEUR D ALENE, ID 83814 · Phone (208) 765-4888 · Fax (208) 667-8618

Other Identifiers 1

Medicaid807438700ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and more.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

Andrew Anthony Henneberg Md 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.

PECOS PAC ID2365447240

PECOS Enrollment IDI20060927000500

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

49 services34 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

18 services18 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

17 services17 patients

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, ID

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number130049

Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County

Emergency services Birthing friendly

Physician 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.

New Patient

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

LAKESIDE PEDIATRIC & ADOLESCENT MEDICINE, PLLC

Pediatrics (Adolescent Medicine)

980 W IRONWOOD DR, STE 302
COEUR D'ALENE, ID 83814

Kootenai County (208) 292-5437

MARSTON T WESTBROOK , DDS, LLC

Dentist (Oral and Maxillofacial Surgery)

980 W IRONWOOD DR, SUITE 301
COEUR D ALENE, ID 83814

Kootenai County (208) 664-0844

ROY RANDEL HENNEBERG MD

Specialist

980 W IRONWOOD DR, SUITE 304
COEUR D ALENE, ID 83814

Kootenai County (208) 765-4888

MR. STEVEN I JESSUP M.A. LIC. ATC

Specialist/Technologist (Athletic Trainer)

980 W IRONWOOD DR, SUITE 207
COEUR D ALENE, ID 83814

Kootenai County (208) 770-2971

MATTHEW DAVID MCLAUGHLIN D.O.

Urology

980 W IRONWOOD DR, STE 104
COEUR D ALENE, ID 83814

Kootenai County (208) 667-0621

RONDA LYNN WILLIAMSON CNM

Advanced Practice Midwife

980 W IRONWOOD DR, STE 306
COEUR D ALENE, ID 83814

Kootenai County (208) 625-4970

MRS. SUZANNE KALEN EPPERSON ARNP-CNM

Midwife

980 W IRONWOOD DR
COEUR D ALENE, ID 83814

Kootenai County (208) 765-4888

APPLE FAMILY CARE PLLC

Family Medicine

980 W IRONWOOD DR, SUITE 201
COEUR D ALENE, ID 83814

Kootenai County (208) 292-1315

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 Andrew Henneberg's NPI number?

The NPI number for Andrew Henneberg is 1689603847. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Andrew Henneberg located?

Andrew Henneberg practices at 980 W Ironwood Dr Suite 201, Coeur D Alene, ID 83814. The listed phone number is (208) 765-4888.

What is Andrew Henneberg's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Andrew Henneberg enrolled in Medicare?

Yes. Andrew Henneberg 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.

What insurance does Andrew Henneberg accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and Select Health list Andrew Henneberg 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 Andrew Henneberg affiliated with any hospitals?

According to CMS data, Andrew Henneberg is affiliated with Kootenai Health.

When was this NPI record last updated?

The NPPES record for Andrew Henneberg was last updated on May 14, 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.