JENNIFER RAE STALLINGS NP
NPI 1780253989
Nurse Practitioner in Coeur D Alene, ID

Q: What is Jennifer Stallings's NPI number?

The NPI number for Jennifer Stallings is 1780253989. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Q: What is Jennifer Stallings's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 22, 2021PECOS EnrolledAccepts Medicare Assignment

2120 W IRONWOOD CENTER DR, COEUR D ALENE, ID 83814(208) 625-6944(208) 625-6945 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 16, 2025, May 3, 2024, Jun 22, 2021 (3 updates tracked since 2021).

On this page

About Jennifer Rae Stallings Np NPPES

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

JENNIFER RAE STALLINGS NP (NPI 1780253989) is an individual nurse practitioner in Coeur D Alene, Idaho, licensed in Idaho (39413) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780253989

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENNIFER RAE STALLINGSCredential: NP

Location Address2120 W IRONWOOD CENTER DRCoeur D Alene, ID 83814-2639

Mailing Address2120 W Ironwood Center DrCoeur D Alene, ID 83814-2639 · (208) 625-6944 · Fax (208) 625-6945

Phone(208) 625-6944

Fax(208) 625-6945

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJune 22, 2021

Last NPPES UpdateSeptember 16, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2025

✔ NPI 1780253989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ID · 39413

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 67570 (ID)

2120 W IRONWOOD CENTER DR, Coeur D Alene, ID 83814

Open in Google Maps ↗

Secondary Practice Locations 2

Location 125 Jacobs Gulch RdKellogg, ID 83837-2023 · Phone (208) 784-1221 · Fax (208) 784-0961

Location 211120 NE 33rd Pl Ste 202Bellevue, WA 98004-1444 · Phone (206) 823-1004 · Fax (206) 309-3319

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Moda Health Plan, Inc., PacificSource Health Plans and more.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

Jennifer Rae Stallings 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.

PECOS PAC ID8527460484

PECOS Enrollment IDI20210714002832

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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Stallings reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Idaho Wound Care PLLC

3.1 mi

Nurse Practitioner

3906 W CALZADO DR
Coeur D Alene, ID 83815

Reassigned Medicare billing, Idaho enrollment

NPI 1932052529 (208) 518-9193

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

285 services108 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

121 services45 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

49 services49 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

32 services25 patients

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.

24 services23 patients

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, 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

Shoshone Medical Center

Critical Access Hospitals · Kellogg, ID

OwnershipGovernment - Hospital District or Authority

CMS Certification Number131314

Location25 Jacobs Gulch RoadKellogg, ID 83837 · Shoshone County

Emergency services

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

$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 4

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

DR. SEAN TRISTAN LAWRENCE COOK D.O.

Internal Medicine (Infectious Disease)

2120 W IRONWOOD CENTER DR
COEUR D ALENE, ID 83814

Kootenai County (208) 625-6944

JOHN J MYTYCH D.P.M.

Podiatrist (Foot & Ankle Surgery)

2120 W IRONWOOD CENTER DR
COEUR D ALENE, ID 83814

Kootenai County (208) 625-6944

DAVID BRYAN GIERUT APRN

Nurse Practitioner (Gerontology)

2120 W IRONWOOD CENTER DR
COEUR D ALENE, ID 83814

Kootenai County (208) 625-6944

DR. MELANIE ENDERWICK MD

Internal Medicine (Infectious Disease)

2120 W IRONWOOD CENTER DR
COEUR D ALENE, ID 83814

Kootenai County (208) 625-6944

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 Jennifer Stallings's NPI number?

The NPI number for Jennifer Stallings is 1780253989. It was assigned to this individual provider in the NPPES registry on June 22, 2021.

Where is Jennifer Stallings located?

Jennifer Stallings practices at 2120 W Ironwood Center Dr, Coeur D Alene, ID 83814. The listed phone number is (208) 625-6944.

What is Jennifer Stallings's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jennifer Stallings enrolled in Medicare?

Yes. Jennifer Stallings 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 Jennifer Stallings's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Stallings reassigns Medicare benefits to North Idaho Wound Care PLLC (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 Jennifer Stallings's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Stallings accept?

Health plans from Ambetter Health, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Jennifer Stallings 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 Jennifer Stallings affiliated with any hospitals?

According to CMS data, Jennifer Stallings is affiliated with Kootenai Health and Shoshone Medical Center.

When was this NPI record last updated?

The NPPES record for Jennifer Stallings was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.