NORTH IDAHO NEPHROLOGY ASSOCIATES, INC.
NPI 1912181090
Clinic/Center - Medical Specialty in Hayden, ID

Active since December 24, 2007CLIA 13D1092669 · Microscopy
1986 W HAYDEN AVE STE C, HAYDEN, ID 83835(208) 762-7760(208) 762-7740 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About North Idaho Nephrology Associates, Inc. NPPES

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

NORTH IDAHO NEPHROLOGY ASSOCIATES, INC. (NPI 1912181090) is a healthcare organization registered as a medical specialty in Hayden, Idaho and active in the NPI registry since December 2007. The organization holds a CLIA Microscopy certificate valid through December 1, 2026 and lists Shaun K. Joshi, Owner, as its authorized official.

NPPES Registry Identity

NPI1912181090
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameNORTH IDAHO NEPHROLOGY ASSOCIATES, INC.
Location Address1986 W HAYDEN AVE STE CHayden, ID 83835-7412
Mailing Address1986 W Hayden Ave Ste CHayden, ID 83835-7412 · (208) 762-7760 · Fax (208) 762-7740
Fax(208) 762-7740
Organization SubpartNo
Authorized OfficialShaun K. JoshiOwner · (208) 762-7760
Enumeration DateDecember 24, 2007
Last NPPES UpdateJuly 15, 2021
NPPES CertifiedJuly 15, 2021
✔ NPI 1912181090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1986 W HAYDEN AVE STE C, Hayden, ID 83835

Other Identifiers 4

Other000010166370ID · Regence Blue Shield
Medicaid808003600ID
Medicaid8239220WA
Other8N389ID · Blue Cross Of Idaho

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Idaho Nephrology Associates, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20110524000600Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to North Idaho Nephrology Associates, Inc., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nephrology
NPI 1720074990
1986 W HAYDEN AVE
Hayden, ID 83835
(208) 762-7760
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1073629150
1986 W HAYDEN AVE
Hayden, ID 83835
(208) 762-7760
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1578862017
1986 W HAYDEN AVE STE C
Hayden, ID 83835
(208) 762-7760
✔ PECOSSame address
Nurse Practitioner
NPI 1093014664
8836 N HESS ST STE C
Hayden, ID 83835
(208) 762-7760
✔ PECOS1.1 mi
Nurse Practitioner
NPI 1760431290
16528 E DESMET CT
Spokane Valley, WA 99216
(509) 455-8820
✔ PECOS18 mi

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

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 for Provider-Performed Microscopy Procedures (PPMP) 13D1092669

North Idaho Nephrology Associates · Hayden, ID
Active · expires Dec 1, 2026
CLIA Number13D1092669
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2024
Certificate Expiration DateDecember 1, 2026
Laboratory DirectorShaun K. Joshi
Laboratory Phone(208) 762-7760
Laboratory LocationNorth Idaho Nephrology Associates1986 W Hayden Av, Hayden, ID 83835
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Nephrology Associates, Inc.'s NPI number?

The NPI number for North Idaho Nephrology Associates, Inc. is 1912181090. It was assigned to this organization in the NPPES registry on December 24, 2007.

Where is North Idaho Nephrology Associates, Inc. located?

North Idaho Nephrology Associates, Inc. is located at 1986 W Hayden Ave Ste C, Hayden, ID 83835. The listed phone number is (208) 762-7760.

What is North Idaho Nephrology Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is North Idaho Nephrology Associates, Inc. enrolled in Medicare?

Yes. North Idaho Nephrology Associates, Inc. is registered in the Medicare PECOS enrollment system.

When is North Idaho Nephrology Associates, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through North Idaho Nephrology Associates, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to North Idaho Nephrology Associates, Inc.. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3), Internal Medicine (1) and Nephrology (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does North Idaho Nephrology Associates, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D1092669) is associated with this NPI, valid through December 1, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does North Idaho Nephrology Associates, Inc. accept?

Health plans from Ambetter Health list North Idaho Nephrology Associates, Inc. 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 North Idaho Nephrology Associates, Inc. was last updated on July 15, 2021. 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.