1. Home
  2. Directory
  3. Idaho
  4. Coeur D Alene
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

MARIN SELENE CORDOVA CRNA
NPI 1992448187
Nurse Anesthetist, Certified Registered in Coeur D Alene, ID

Active since April 15, 2022Accepts Medicare Assignment
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814(208) 765-8585(208) 765-8486 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2025, Apr 15, 2022 (2 updates tracked since 2022).

About Marin Selene Cordova Crna NPPES

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

MARIN SELENE CORDOVA CRNA (NPI 1992448187) is an individual nurse anesthetist, certified registered in Coeur D Alene, Idaho, licensed in Idaho (7671569) and active in the NPI registry since April 2022. She is affiliated with Kootenai Health and is a graduate of Other (2025).

NPPES Registry Identity

NPI1992448187
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMARIN SELENE CORDOVACredential: CRNA
Location Address2003 KOOTENAI HEALTH WAYCoeur D Alene, ID 83814-6051
Mailing Address212 W Ironwood Dr Ste DCoeur D Alene, ID 83814-1403
Phone(208) 765-8585
Fax(208) 765-8486
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 15, 2022
Last NPPES UpdateJuly 25, 20252 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
✔ NPI 1992448187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in ID · 7671569
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2003 KOOTENAI HEALTH WAY, Coeur D Alene, ID 83814
Open in Google Maps ↗

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

Marin Selene Cordova Crna 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 ID6901307933
PECOS Enrollment IDI20250829003923

Medicare Billing Reassignment

Medicare enrollment records show Marin Cordova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesia Associates Of Coeur D Alene PLLC
0.3 mi
Anesthesiology
101 W IRONWOOD DR STE 250
Coeur D Alene, ID 83814
  • Reassigned Medicare billing, Idaho enrollment
  • 81 clinicians in this Medicare group
NPI 1962440966 (208) 765-8585

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

Hospital Affiliations CMS Care Compare

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

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
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.

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 Marin Cordova's NPI number?

The NPI number for Marin Cordova is 1992448187. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is Marin Cordova located?

Marin Cordova practices at 2003 Kootenai Health Way, Coeur D Alene, ID 83814. The listed phone number is (208) 765-8585.

What is Marin Cordova's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Marin Cordova enrolled in Medicare?

Yes. Marin Cordova 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 organization bills Medicare for Marin Cordova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marin Cordova reassigns Medicare benefits to Anesthesia Associates Of Coeur D Alene PLLC (Coeur D Alene, ID). The 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 Marin Cordova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Marin Cordova affiliated with any hospitals?

According to CMS data, Marin Cordova is affiliated with Kootenai Health.

When was this NPI record last updated?

The NPPES record for Marin Cordova was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.