ERICA SANDE KELLENBECK MD
NPI 1699081083
Emergency Medicine in Coeur D Alene, ID
About Erica Sande Kellenbeck Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERICA SANDE KELLENBECK MD (NPI 1699081083) is an individual emergency medicine provider in Coeur D Alene, Idaho, licensed in Idaho (M13204) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Bonner General Hospital, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Erica Sande Kellenbeck 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.
Medicare Billing Reassignment
Medicare enrollment records show Erica Kellenbeck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sandpoint, ID 83864
- Reassigned Medicare billing, Idaho enrollment
- Also billed through NPI 1154563963 (Idaho)
- 75 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bonner 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 20
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
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 Erica Kellenbeck's NPI number?
The NPI number for Erica Kellenbeck is 1699081083. It was assigned to this individual provider in the NPPES registry on August 24, 2010. The provider is also known as Erica Sande Ashenbrener M.D..
Where is Erica Kellenbeck located?
Erica Kellenbeck practices at 2003 Kootenai Health Way, Coeur D Alene, ID 83814. The listed phone number is (208) 625-4000.
What is Erica Kellenbeck's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Erica Kellenbeck enrolled in Medicare?
Yes. Erica Kellenbeck 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 Erica Kellenbeck's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erica Kellenbeck reassigns Medicare benefits to Bonner General Hospital, Inc (Sandpoint, 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 Erica Kellenbeck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Erica Kellenbeck affiliated with any hospitals?
According to CMS data, Erica Kellenbeck is affiliated with Bonner General Hospital.
When was this NPI record last updated?
The NPPES record for Erica Kellenbeck was last updated on February 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Erica Sande Kellenbeck, MD · NPI 1699081083
Emergency Medicine physician in Coeur D Alene, Idaho. Individual provider, active in the CMS NPPES registry since August 24, 2010.
## Identity
- **NPI:** 1699081083 (Entity type: Individual)
- **Enumerated:** August 24, 2010
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** M13204 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 2003 KOOTENAI HEALTH WAY, Coeur D Alene, ID 83814-6051
- **Phone:** (208) 625-4000
## 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:** Bonner General Hospital, Inc (NPI 1982112660, Sandpoint, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** February 6, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1699081083) · Data from the CMS NPPES public registry.