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NORTH IDAHO FAMILY PRACTICE LLC
NPI 1780497859
Physician Assistant - Medical in Post Falls, ID

Active since January 31, 2025CLIA 13D2318544 · Waiver
1101 E POLSTON AVE STE B, POST FALLS, ID 83854(208) 770-8848 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Idaho Family Practice Llc NPPES

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

NORTH IDAHO FAMILY PRACTICE LLC (NPI 1780497859) is a healthcare organization registered as a medical in Post Falls, Idaho and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through February 11, 2027 and lists Nicholas Wade Bozarth, Owner, as its authorized official.

NPPES Registry Identity

NPI1780497859
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameNORTH IDAHO FAMILY PRACTICE LLC
Location Address1101 E POLSTON AVE STE BPost Falls, ID 83854-6045
Mailing Address1101 E Polston Ave Ste BPost Falls, ID 83854-6045 · (208) 747-1776 · Fax (208) 747-1777
Phone(208) 770-8848
Organization SubpartNo
Authorized OfficialNicholas Wade BozarthOwner · (208) 770-8848
Enumeration DateJanuary 31, 2025
Last NPPES UpdateMarch 10, 2025
NPPES CertifiedMarch 10, 2025
✔ NPI 1780497859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1101 E POLSTON AVE STE B, Post Falls, ID 83854
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 of Waiver 13D2318544

North Idaho Family Practice LLC · Post Falls, ID
Active · expires Feb 11, 2027
CLIA Number13D2318544
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 12, 2025
Certificate Expiration DateFebruary 11, 2027
Laboratory DirectorNicholas W. Bozarth
Laboratory Phone(208) 770-8848
Laboratory LocationNorth Idaho Family Practice LLC1101 E Polston Ave Ste B, Post Falls, ID 83854
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Kelly September 27, 2025

5/5
Nick Bozarth is my primary care provider and has been critical in diagnosing my long overlooked Mitral valve condition. I have much respect for him and his wonderful family and find him to be a great choice as a provider.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

Other Providers at the Same Location NPPES

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

MR. NICHOLAS WADE BOZARTH PA-C
Physician Assistant (Medical)
1101 E POLSTON AVE STE B
POST FALLS, ID 83854
Kootenai County (208) 747-1776

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 North Idaho Family Practice LLC's NPI number?

The NPI number for North Idaho Family Practice LLC is 1780497859. It was assigned to this organization in the NPPES registry on January 31, 2025.

Where is North Idaho Family Practice LLC located?

North Idaho Family Practice LLC is located at 1101 E Polston Ave Ste B, Post Falls, ID 83854. The listed phone number is (208) 770-8848.

What is North Idaho Family Practice LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Does North Idaho Family Practice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2318544) is associated with this NPI, valid through February 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Idaho Family Practice LLC was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.