COEUR D ALENE PRIMARY CARE PLLC
NPI 1922431360
Clinic/Center - Primary Care in Coeur D Alene, ID
About Coeur D Alene Primary Care Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COEUR D ALENE PRIMARY CARE PLLC (NPI 1922431360) is a healthcare organization registered as a primary care in Coeur D Alene, Idaho and active in the NPI registry since August 2013. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Coeur D Alene, and lists Brandon Rice, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Coeur D Alene Primary Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Coeur D Alene Primary Care PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (12)
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 2
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 13D2077897
Coeur D'alene Primary Care · Coeur D'alene, IDCertificate of Waiver 13D2318659
Coeur D'alene Primary Care · Kellogg, IDFrequently 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 Coeur D Alene Primary Care PLLC's NPI number?
The NPI number for Coeur D Alene Primary Care PLLC is 1922431360. It was assigned to this organization in the NPPES registry on August 20, 2013.
Where is Coeur D Alene Primary Care PLLC located?
Coeur D Alene Primary Care PLLC is located at 920 W Ironwood Dr Ste 200, Coeur D Alene, ID 83814. The listed phone number is (208) 667-2600.
What is Coeur D Alene Primary Care PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Coeur D Alene Primary Care PLLC enrolled in Medicare?
Yes. Coeur D Alene Primary Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Coeur D Alene Primary Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Coeur D Alene Primary Care PLLC. 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 (10) and Family Practice (2). Of these, 4 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Coeur D Alene Primary Care PLLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Coeur D Alene Primary Care PLLC accept?
Health plans from Molina Healthcare list Coeur D Alene Primary Care PLLC 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 Coeur D Alene Primary Care PLLC was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Coeur D Alene Primary Care Pllc · NPI 1922431360
Primary Care organization in Coeur D Alene, Idaho. Organization record, active in the CMS NPPES registry since August 20, 2013.
## Identity
- **NPI:** 1922431360 (Entity type: Organization)
- **Enumerated:** August 20, 2013
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Brandon Rice, OWNER
## Practice location
- **Address:** 920 W IRONWOOD DR STE 200, Coeur D Alene, ID 83814-2643
- **Phone:** (208) 667-2600 · **Fax:** (208) 625-2051
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Family Practice (2); 4 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 29, 2022
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1922431360) · Data from the CMS NPPES public registry.