Samantha Anne Easterly, DO
Individual provider Active NPI Family Medicine Physician · Coeur D Alene, ID
NPI 1003473380 · NPPES record last updated Dec 11, 2025
Key facts
- NPI
- 1003473380
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 417105 (ID)
- Practice address
- 1090 W Park PL
Coeur D Alene, ID 83814-2785 - Phone
- (208) 620-5250
- Fax
- (844) 807-3782
- NPI assigned
- May 22, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dirne Health Centers Inc
Practice addresses (Care Compare)
1090 W Park PL
Coeur D Alene, ID 83814-2785
Phone (208) 292-0290
1106 W Ironwood Dr
Coeur D Alene, ID 83814-2480
16760 N Hwy 41
Rathdrum, ID 83858-8715
Phone (208) 620-5250
2205 N Ironwood PL
Coeur D Alene, ID 83814-2610
Phone (208) 292-0303
740 McKinley Ave
Kellogg, ID 83837-2693
Phone (208) 783-1267
925 E Polston Ave
Post Falls, ID 83854-9049
Phone (208) 620-5250
Hospital & facility affiliations
- Northwest Specialty Hospital
- Kootenai Health
- Salem Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR, ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230120000656 | OR | Practitioner - Family Practice | 6103297627 | Reassigns benefits to 1 organization |
| I20250514002613 | ID | Practitioner - Family Practice | 6103297627 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 417105 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Clinic, PC | Current |
Accepting new patients | |
| Dirne Health Centers, Inc. | Family Medicine | Current |
Accepting new patients |
Locations
2205 N Ironwood Pl
Coeur D Alene, ID 83814
Phone (208) 292-0303
1090 W Park Pl
Coeur D Alene, ID 83814
Phone (208) 215-2005
3700 W Seltice Way
Coeur D Alene, ID 83814
Phone (208) 620-5250
740 McKinley Ave
Kellogg, ID 83837
Phone (208) 783-1267
925 E Polston Ave
Post Falls, ID 83854
Phone (208) 618-0787
16760 N Highway 41
Rathdrum, ID 83858
Phone (208) 687-5627
120 S 13th St
St Maries, ID 83861
Phone (208) 245-4363
2020 Capitol St NE
Salem, OR 97301
Phone (503) 399-2470
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 417105 | ID | Yes |
Addresses
Primary practice location
1090 W Park PL
Coeur D Alene, ID 83814-2785
Mailing address
PO Box 1387
Hayden, ID 83835-1387
Phone (208) 415-0299
Other providers in Coeur D Alene, ID
- Amanda Katherine Dyer
- Eagle Crest Life Services
- Eagle Crest Life Services
- Eagle Crest Life Services Inc
- Eagle Crest Life Services, Inc.
- Curtis Eastin
- Patricia J Easton
- Brooke Lynn Eaton
- Kristin Edgehouse
- Kim Renee Edmondson
All providers in Coeur D Alene, ID · Family Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.