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SANDPOINT FAMILY MEDICINE & URGENT CARE
NPI 1740493832
Family Medicine in Sandpoint, ID

Active since May 07, 2007CLIA 13D0522395 · Microscopy
302 S 1ST AVE, SANDPOINT, ID 83864(208) 263-5109(208) 263-5112 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sandpoint Family Medicine & Urgent Care NPPES

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

SANDPOINT FAMILY MEDICINE & URGENT CARE (NPI 1740493832) is a healthcare organization registered as a family medicine in Sandpoint, Idaho and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Robert Edward Rust, President, as its authorized official.

NPPES Registry Identity

NPI1740493832
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSANDPOINT FAMILY MEDICINE PA
Location Address302 S 1ST AVESandpoint, ID 83864-1258
Mailing Address302 S 1st AveSandpoint, ID 83864-1258 · (208) 263-5109 · Fax (208) 263-5112
Phone(208) 263-5109
Fax(208) 263-5112
Organization SubpartNo
Authorized OfficialRobert Edward RustPresident · (208) 263-5109
Enumeration DateMay 7, 2007
Last NPPES UpdateFebruary 27, 2020
✔ NPI 1740493832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
302 S 1ST AVE, Sandpoint, ID 83864
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Other Names 1

Doing Business AsSandpoint Family Medicine & Urgent Care

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 Molina Healthcare, Premera Blue Cross Blue Shield of Alaska.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)

Sandpoint Family Medicine & Urgent Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Sandpoint Family Medicine & Urgent Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Mark Hernandez, M.D.
Family Practice
NPI 1457416224
302 S 1ST AVE
Sandpoint, ID 83864
(208) 263-5109
✔ PECOS✔ Accepts MedicareSame address
Kathryn Robertson, FNP
Nurse Practitioner
NPI 1114082906
302 S 1ST AVE
Sandpoint, ID 83864
(208) 263-5109
✔ PECOS0.3 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

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 for Provider-Performed Microscopy Procedures (PPMP) 13D0522395

Sandpoint Family Medicine · Sandpoint, ID
Active · expires Aug 31, 2028
CLIA Number13D0522395
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorMark A. Hernandez
Laboratory Phone(208) 263-5109
Laboratory LocationSandpoint Family Medicine302 S 1st Ave, Sandpoint, ID 83864
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Sandpoint Family Medicine PA's NPI number?

The NPI number for Sandpoint Family Medicine PA is 1740493832. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is doing business as Sandpoint Family Medicine & Urgent Care.

Where is Sandpoint Family Medicine PA located?

Sandpoint Family Medicine PA is located at 302 S 1st Ave, Sandpoint, ID 83864. The listed phone number is (208) 263-5109.

What is Sandpoint Family Medicine PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sandpoint Family Medicine PA enrolled in Medicare?

Yes. Sandpoint Family Medicine PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sandpoint Family Medicine PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Sandpoint Family Medicine PA, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sandpoint Family Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0522395) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Sandpoint Family Medicine PA accept?

Health plans from Molina Healthcare and Premera Blue Cross Blue Shield of Alaska list Sandpoint Family Medicine PA 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 Sandpoint Family Medicine PA was last updated on February 27, 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.