Gritman Medical Center Inc
A Medicare group practice based in Moscow, ID: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0941545784), with 40 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0941545784
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- ID
- Enrollments
- 2
- Group size
- 27 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20181221002296 | ID | Part B Supplier - Clinic/Group Practice | 1538634522 |
| O20201109002756 | ID | Part A Provider - Rural Health Clinic | 1538634522 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Gritman Medical Center, Inc.
- Family Medicine Physician
- Moscow, ID
- NPI 1538634522
-
Gritman Medical Center, Inc.
- Family Medicine Physician
- Lewiston, ID
- NPI 1588413694
Practice locations
- Moscow, ID4
- Lewiston, ID1
Clinicians 40
Clinicians who reassign their Medicare benefits to this group (39) or whom Care Compare lists as members (27).
-
Hanna Albanese, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Moscow, ID
- NPI 1386441475
-
Ronald Francis Baldwin, MD
- Family Medicine Physician
- Moscow, ID
- NPI 1912118928
-
Carson E Barnes, MD
- Family Medicine Physician
- Nampa, ID
- NPI 1407410889
-
Emily F Barnes, MD
- Family Medicine Physician
- Boise, ID
- NPI 1770147159
-
Olisa Bomley, LMSW
- Social Worker
- Lewiston, ID
- NPI 1447691621
-
Jessica E Bonnett, DO
- Family Medicine Physician
- Moscow, ID
- NPI 1669786653
-
Bradly John Capawana, DPM
- Foot & Ankle Surgery Podiatrist
- Pullman, WA
- NPI 1447257076
-
Roberta J Carr, PA-C
- Medical Physician Assistant
- Lapwai, ID
- NPI 1306856547
-
Jacob Kent Christensen, D.O.
- Sports Medicine (Family Medicine) Physician
- Meridian, ID
- NPI 1407237043
-
Victoria K Cruz, NP-C
- Nurse Practitioner
- Lewiston, ID
- NPI 1487222659
-
Keith James Davis, LPC
- Professional Counselor
- Moscow, ID
- NPI 1134904949
-
Summer Lynn Day, MD
- Pediatrics Physician
- Moscow, ID
- NPI 1457627937
-
Amy Elizabeth Dudley
- Family Medicine Physician
- Moscow, ID
- NPI 1588028567
-
Nicole M Dwyer, PA
- Physician Assistant
- Lewiston, ID
- NPI 1780860908
-
Michael T Fields, MD
- Family Medicine Physician
- Moscow, ID
- NPI 1841780293
-
Laura Marie Gifford, PA-C
- Physician Assistant
- Lewiston, ID
- NPI 1265800742
-
Wendy Monique Goodrich, PA C
- Physician Assistant
- Moscow, ID
- NPI 1255400388
-
Tiki Hansen, PMH-NP
- Psychiatric/Mental Health Nurse Practitioner
- Moscow, ID
- NPI 1932659422
-
Michelle Dawn Hazen, APRN-CNP
- Family Nurse Practitioner
- Moscow, ID
- NPI 1902414527
-
Lynley R James, NP-C
- Family Nurse Practitioner
- Moscow, ID
- NPI 1871900225
-
Cameron Mackay Jones, MD
- Family Medicine Physician
- Moscow, ID
- NPI 1811551583
-
Candice Ketelsen, PA-C
- Physician Assistant
- Ridgefield, WA
- NPI 1073040515
-
Lynn A Kohlmeier, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Spokane, WA
- NPI 1528026820
-
Matthew Lassen, PA-C
- Physician Assistant
- Moscow, ID
- NPI 1932599214
-
Caren Loomis Cox
- Mental Health Counselor
- Moscow, ID
- NPI 1174977144
-
Patricia N. Marciano, M.D.
- Family Medicine Physician
- Moscow, ID
- NPI 1053398578
-
James David McCall
- Physician Assistant
- Moscow, ID
- NPI 1801484613
-
Sheridan Meyer
- Physician Assistant
- Moscow, ID
- NPI 1437885373
-
Gwen E. Mitchell
- School Psychologist
- Moscow, ID
- NPI 1508989237
-
Bryn Elise Parker, M.D.
- Family Medicine Physician
- Moscow, ID
- NPI 1598058711
-
Cleo Patrick, PHD, LCSW, LICSW
- Clinical Social Worker
- Mountain Home Afb, ID
- NPI 1275888943
-
Preetha S Rosen, MD
- Sleep Medicine (Psychiatry & Neurology) Physician
- Moscow, ID
- NPI 1487886099
-
Mark Mitchell Roubidoux II, NP-C
- Nurse Practitioner
- Lewiston, ID
- NPI 1629685235
-
Robin Ashley Sautter, MD
- Family Medicine Physician
- Moscow, ID
- NPI 1619402484
-
Barret Schneider
- Physician Assistant
- Moscow, ID
- NPI 1962171231
-
Helen Marie Shearer, MD
- Family Medicine Physician
- Moscow, ID
- NPI 1104890177
-
Carolyn Jean Shoemaker, PA-C
- Physician Assistant
- Clarkston, WA
- NPI 1477856649
-
Kyrsten E Stoops, MD
- Family Medicine Physician
- Moscow, ID
- NPI 1417261934
-
Sera Evelyn Babino Weber, PA-S
- Physician Assistant
- Moscow, ID
- NPI 1518697887
-
Heather Worthington, PAC
- Physician Assistant
- Pullman, WA
- NPI 1578859393
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.