David Craig Sjostrand, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

55373 Issued in ID

Practice address

124 5TH St
Wilder, ID 83676-5540

Phone

(208) 482-7430

Fax

(208) 585-6221

NPI assigned

Feb 22, 2017

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Core Medicine Idaho, LLC

  • Primary Care Clinic/Center
  • Caldwell, ID
  • NPI 1043927882

  ID

  Medicare reassignment Care Compare group NPD
• Southern Idaho Health Partners LLC

  • General Practice Physician
  • Meridian, ID
  • NPI 1952701401
  NPD
• Caldwell Internal Medicine Professional Association

  • Internal Medicine Physician
  • Caldwell, ID
  • NPI 1649225616
  NPD (past)
• GPS Psychology & Anxiety Clinic, LLC

  • Community/Behavioral Health Agency
  • Meridian, ID
  • NPI 1841798634
  NPD (past)
• Hansen Family Services Inc

  • Mental Health Counselor
  • Meridian, ID
  • NPI 1891888459
  NPD (past)
• West Valley Medical Group Specialty Services LLC

  • Obesity Medicine (Obstetrics & Gynecology) Physician
  • Caldwell, ID
  • NPI 1245659093
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Alphonsus Regional Medical Center Inc

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1184155426

  Hospital

  Care Compare affiliation
• Saint Alphonsus Regional Medical Center Inc

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1457414948

  Hospital

  Care Compare affiliation
• Saint Alphonsus Regional Medical Center Inc

  • Psychiatric Hospital Unit
  • Boise, ID
  • NPI 1770687857

  Hospital

  Care Compare affiliation
• Saint Alphonsus Regional Medical Center Inc

  • Family Medicine Physician
  • Caldwell, ID
  • NPI 1861676298

  Hospital

  Care Compare affiliation
• Saint Alphonsus Regional Medical Center Inc

  • General Acute Care Hospital
  • Boise, ID
  • NPI 1992736649

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Core Medicine Idaho LLC 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AFIJCD/Endpoint/AFIJCD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053850164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277976",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 5TH ST",
            "city": "WILDER",
            "state": "ID",
            "postal_code": "836765540",
            "telephone_number": "208-482-7430",
            "fax_number": "208-585-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SJOSTRAND",
        "first_name": "DAVID",
        "middle_name": "CRAIG",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-22",
        "last_updated": "2022-07-21",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "N-44357",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "55373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hti Physican Services of Utah,Inc
• Shaina Leeann Lonai
• Sharon Joy Monasmith, CNM
• Melinda Lou Mulkey
• Shauna Rankin
• Snake River Mental Health, PLLC
• Wilder Academy of Virtual Education

• All providers in Wilder, ID
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.