DOCTOR OF NURSING PRACTICE PRIMARY CARE LLC
NPI 1811725088
Nurse Practitioner - Primary Care in Post Falls, ID

Active since July 22, 2024CLIA 13D2311217 · Waiver
3904 E MULLAN AVE STE C, POST FALLS, ID 83854(208) 786-0569 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 10, 2025, Jul 22, 2024 (2 updates tracked since 2024).

About Doctor Of Nursing Practice Primary Care Llc NPPES

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

DOCTOR OF NURSING PRACTICE PRIMARY CARE LLC (NPI 1811725088) is a healthcare organization registered as a primary care in Post Falls, Idaho and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through September 17, 2026 and lists Andrea Lynn Garey, Manager, as its authorized official.

NPPES Registry Identity

NPI1811725088
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameDOCTOR OF NURSING PRACTICE PRIMARY CARE LLC
Location Address3904 E MULLAN AVE STE CPost Falls, ID 83854-4009
Mailing Address1869 E Seltice Way # 365Post Falls, ID 83854-7019 · (208) 786-0569 · Fax (833) 973-4009
Organization SubpartNo
Authorized OfficialAndrea Lynn GareyManager · (208) 786-0569
Enumeration DateJuly 22, 2024
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
NPI 1811725088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X

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

Accepted Insurance

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 13D2311217

Doctor Of Nursing Practice Primary Care LLC · Post Falls, ID
Active · expires Sep 17, 2026
CLIA Number13D2311217
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 18, 2024
Certificate Expiration DateSeptember 17, 2026
Laboratory DirectorAndrea L. Garey
Laboratory Phone(208) 786-0569
Laboratory LocationDoctor Of Nursing Practice Primary Care LLC3904 E Mullan Ave Ste C, 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.

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.

Chiropractor
3904 E MULLAN AVE STE C
POST FALLS, ID 83854
Chiropractor
3904 E MULLAN AVE STE C
POST FALLS, ID 83854
Clinic/Center
3904 E MULLAN AVE STE C
POST FALLS, ID 83854
Nurse Practitioner (Family)
3904 E MULLAN AVE STE C
POST FALLS, ID 83854

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 Doctor Of Nursing Practice Primary Care LLC's NPI number?

The NPI number for Doctor Of Nursing Practice Primary Care LLC is 1811725088. It was assigned to this organization in the NPPES registry on July 22, 2024.

Where is Doctor Of Nursing Practice Primary Care LLC located?

Doctor Of Nursing Practice Primary Care LLC is located at 3904 E Mullan Ave Ste C, Post Falls, ID 83854. The listed phone number is (208) 786-0569.

What is Doctor Of Nursing Practice Primary Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Doctor Of Nursing Practice Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2311217) is associated with this NPI, valid through September 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Doctor Of Nursing Practice Primary Care LLC accept?

Health plans from Moda Health Plan, Inc. list Doctor Of Nursing Practice Primary Care LLC 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 Doctor Of Nursing Practice Primary Care LLC was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.