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DR. JEREMY ROBERT NICOLARSEN MD
NPI 1891946778
Pediatrics - Pediatric Cardiology in Coeur D Alene, ID

Active since October 09, 2008PECOS EnrolledAccepts Medicare Assignment
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814(208) 625-4000 Get Directions Write a Review

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 2, 2020, Jul 26, 2017, Mar 2, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Jeremy Robert Nicolarsen Md NPPES

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

DR. JEREMY ROBERT NICOLARSEN MD (NPI 1891946778) is an individual pediatric cardiology provider in Coeur D Alene, Idaho, licensed in Idaho (M13579) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2007).

NPPES Registry Identity

NPI1891946778
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. JEREMY ROBERT NICOLARSENCredential: MD
Location Address2003 KOOTENAI HEALTH WAYCoeur D Alene, ID 83814-6051
Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 625-4000
Phone(208) 625-4000
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2007
Enumeration DateOctober 9, 2008
Last NPPES UpdateOctober 2, 20204 updates tracked since enumeration
NPPES CertifiedOctober 2, 2020
✔ NPI 1891946778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in ID · M13579
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
2003 KOOTENAI HEALTH WAY, Coeur D Alene, ID 83814
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Blue Cross and Blue Shield of Montana, Molina Healthcare 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

Dr. Jeremy Robert Nicolarsen 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.

PECOS PAC ID3971746496
PECOS Enrollment IDI20160808002023, I20170403001969, I20180321001408
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 Reassignments

5

Medicare enrollment records show Jeremy Nicolarsen reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kootenai Health, Inc.
Same address
Psychiatry
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 472 clinicians in this Medicare group
NPI 1174661151 (208) 625-4000
Kootenai Health, Inc.
Same address
Psychiatry
2003 KOOTENAI HEALTH WAY
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 301 clinicians in this Medicare group
NPI 1174661151 (208) 625-4000
Providence Health & Services Washington
27 mi
General Practice
2923 E 29TH AVE
Spokane, WA 99223
  • Reassigned Medicare billing, Washington and Idaho enrollments
  • Also billed through NPI 1194099390 (Idaho)
  • 862 clinicians in this Medicare group
NPI 1306391446 (509) 626-9820
Providence Health & Services Washington
29 mi
Cardiovascular Disease
62 W 7TH AVE
Spokane, WA 99204
  • Reassigned Medicare billing, Washington enrollment
  • 53 clinicians in this Medicare group
NPI 1881907715 (509) 474-3278
Providence Health & Services Mt
67 mi
Cardiovascular Disease
120 POND ST
Thompson Falls, MT 59873
  • Reassigned Medicare billing, Montana enrollment
  • 325 clinicians in this Medicare group
NPI 1477710945 (406) 329-5615

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 7

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
69 services54 patients
Ultrasound of heart with color-depicted blood flow, rate and valve function 93325
An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.
56 services52 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
54 services46 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
53 services53 patients
Ultrasound of heart for congenital defect 93303
An ultrasound of the heart, also known as an echocardiogram, is a test that uses sound waves to create pictures of your heart. This test can help doctors identify any congenital heart defects, which are heart conditions present at birth. It's a safe, non-invasive procedure.
43 services43 patients
Ultrasound of heart blood flow, valves and chambers 93320
An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.
42 services41 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270014
Location500 W BroadwayMissoula, MT 59806 · Missoula County
Emergency services Birthing friendly

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500054
Location101 West 8th AvenueSpokane, WA 99204 · Spokane County
Emergency services Birthing friendly

Providence Holy Family Hospital

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500077
Location5633 North LidgerwoodSpokane, WA 99208 · Spokane County
Emergency services Birthing friendly

Newport Community Hospital

Critical Access Hospitals · Newport, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501310
Location714 West Pine StreetNewport, WA 99156 · Pend Oreille County
Emergency services

Providence Mount Carmel Hospital

Critical Access Hospitals · Colville, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number501326
Location982 East ColumbiaColville, WA 99114 · Stevens County
Emergency services Birthing friendly

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.

CHRISTINA CRABTREE M.D.
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
SCOTT GEYER RD
Dietitian, Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
DR. MATTHEW KUNZ DO
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
MRS. AMANDA K KAMPF RN, BSN
Student in an Organized Health Care Education/Training Program
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
DR. PATRICK WILLIAM MAGAJNA MD
Emergency Medicine
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-4000
JOSHUA LEPPERT CRNA
Nurse Anesthetist, Certified Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 765-8585
MARC OLAV GRANRUD
Hospitalist
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 625-6900
KIMBERLEY S HALL DIETICIAN
Dietitian, Registered
2003 KOOTENAI HEALTH WAY
COEUR D ALENE, ID 83814
Kootenai County (208) 666-2000

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 Jeremy Nicolarsen's NPI number?

The NPI number for Jeremy Nicolarsen is 1891946778. It was assigned to this individual provider in the NPPES registry on October 9, 2008.

Where is Jeremy Nicolarsen located?

Jeremy Nicolarsen practices at 2003 Kootenai Health Way, Coeur D Alene, ID 83814. The listed phone number is (208) 625-4000.

What is Jeremy Nicolarsen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Jeremy Nicolarsen enrolled in Medicare?

Yes. Jeremy Nicolarsen 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 organizations bill Medicare for Jeremy Nicolarsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Nicolarsen reassigns Medicare benefits to 5 organizations: Kootenai Health, Inc. (Coeur D Alene, ID), Kootenai Health, Inc. (Coeur D Alene, ID), Providence Health & Services Washington (Spokane, WA), Providence Health & Services Washington (Spokane, WA) and Providence Health & Services Mt (Thompson Falls, MT). Each 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 Jeremy Nicolarsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Nicolarsen accept?

Health plans from Ambetter Health, Blue Cross and Blue Shield of Montana, Molina Healthcare, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jeremy Nicolarsen 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 Jeremy Nicolarsen affiliated with any hospitals?

According to CMS data, Jeremy Nicolarsen is affiliated with St. Patrick Hospital, Prov Sacred Hrt Med Ctr & Childs Hosp., Providence Holy Family Hospital, Newport Community Hospital and Providence Mount Carmel Hospital.

When was this NPI record last updated?

The NPPES record for Jeremy Nicolarsen was last updated on October 2, 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.