DR. NICOLE SHIREE BURBANK MD
NPI 1982621967
Radiology - Diagnostic Radiology in Coeur D Alene, ID

Q: What is Nicole Burbank's NPI number?

The NPI number for Nicole Burbank is 1982621967. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Q: What is Nicole Burbank's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Burbank was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 16, 2006PECOS Enrolled

94.91/100

CMS Quality Rating

700 W IRONWOOD DR STE 175, COEUR D ALENE, ID 83814(208) 625-6300(208) 625-6301 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 1, 2024, Apr 19, 2024, Nov 15, 2023 (3 updates tracked since 2023).

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About Dr. Nicole Shiree Burbank Md NPPES

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

DR. NICOLE SHIREE BURBANK MD (NPI 1982621967) is an individual diagnostic radiology provider in Coeur D Alene, Idaho, licensed in Idaho (M-9657) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Coeur D Alene.

NPPES Registry Identity

NPI1982621967

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameDR. NICOLE SHIREE BURBANKCredential: MD

Location Address700 W IRONWOOD DR STE 175Coeur D Alene, ID 83814-4401

Mailing Address700 W Ironwood Dr Ste 175Coeur D Alene, ID 83814-4401 · (208) 625-6309 · Fax (208) 625-6310

Phone(208) 625-6300

Fax(208) 625-6301

Sole ProprietorNo

Enumeration DateJuly 16, 2006

Last NPPES UpdateMay 1, 20243 updates tracked since enumeration

NPPES CertifiedMay 1, 2024

✔ NPI 1982621967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Licenses✔ Licensed in ID · M-9657✔ Licensed in NC · 200300944

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

700 W IRONWOOD DR STE 175, Coeur D Alene, ID 83814

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Secondary Practice Location 1

Location 12003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · Phone (208) 625-6360 · Fax (208) 625-6361

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Shiree Burbank Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Medicare enrollment records show Nicole Burbank reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Radiology Associates Of North Idaho, PA

Same address

Radiology

700 W IRONWOOD DR STE 175
Coeur D Alene, ID 83814

Reassigned Medicare billing, Idaho enrollment
27 clinicians in this Medicare group

NPI 1851384416 (208) 625-6309

Boundary Community Hospital

73 mi

Emergency Medical Services

6640 KANIKSU ST
Bonners Ferry, ID 83805

Reassigned Medicare billing, Idaho enrollment
83 clinicians in this Medicare group

NPI 1679621098 (208) 267-4850

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 6

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.

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

16 services15 patients

Ct scan head or brain without contrast 70450

A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.

15 services15 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

14 services14 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

13 services13 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

13 services13 patients

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.91/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.83

Promoting Interoperability

100

Improvement Activities

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.

DR. BRIAN JOSEPH MCNAMEE MD

Radiology (Diagnostic Radiology)