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

Q: 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.

Q: What is Jeremy Nicolarsen's specialty?

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

Q: 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 5 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.

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: August 09, 2026.

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

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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 Blue Cross and Blue Shield of Montana, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 4

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

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