NPIMap

Individual provider Active NPI

Jane A Fore, MD

  • Internal Medicine Physician
  • Lewiston, ID
National Provider Identifier
1063445385
Registry record updated Nov 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M-4493 Issued in ID
Practice address
415 Sixth St
Lewiston, ID 83501
Phone
(208) 750-7445
NPI assigned
Jul 9, 2006
Last updated
Nov 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00036657 WA
Internal Medicine Physician 207R00000X M-4493 ID Primary

Addresses

Primary practice location

415 Sixth St
Lewiston, ID 83501

Mailing address

1119 Highland Ave
Suite 7
Clarkston, WA 99403-2836
Phone (509) 758-1119

Other practice location 1

1221 Highland Ave
Clarkston, WA 99403-2829
Phone (208) 799-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041008001011 WA Practitioner - Internal Medicine 0446243125 Reassigns benefits to 1 organization
I20041025000045 ID Practitioner - Internal Medicine 0446243125 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clearwater Valley Hospital and ClinicsGroup PAC ID 0547173346, shared by 4 NPIs, 27 clinicians

Practice addresses (Care Compare)

301 Cedar St
Orofino, ID 83544-9029
Phone (208) 476-5777

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Jan 1, 2023 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. Current Accepting new patients
St Joseph Hospital LLC Internal Medicine CurrentSince May 1, 2017 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Nov 9, 2025 Accepting new patients
St. Mary's Hospital Inc CurrentSince Jan 1, 2023 Accepting new patients
St. Mary's Hospital Inc CurrentSince Jan 1, 2023 Accepting new patients
Quality Behavioral Health CurrentSince Jun 1, 2022 Accepting new patients
Clearwater Valley Hospital & Clinics Inc. CurrentSince Jan 1, 2023 Accepting new patients
Laennec Inpatient Services Internal Medicine Past Accepting new patients
St. Mary's Hospital Inc Past Accepting new patients
Gage Inpatient Services Internal Medicine Past Accepting new patients

Locations

701 Lewiston St
Cottonwood, ID 83522
Phone (208) 962-3251

307 Saint Johns Way
Ste 17
Lewiston, ID 83501
Phone (208) 746-7055

341 Saint Johns Way
Lewiston, ID 83501
Phone (208) 750-7462

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422

700 S Main St
Moscow, ID 83843
Phone (208) 746-7555

301 Cedar St
Orofino, ID 83544
Phone (208) 476-4555

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

900 7th St
Clarkston, WA 99403
Phone (509) 758-3341

Interoperability endpoints

  • Direct secure messaging: jane.fore.1@12569.direct.athenahealth.com
  • Direct secure messaging: janefore@cvhcsmh.medalliesdirect.net
  • Direct secure messaging: janefore@cvhsmh.medalliesdirect.net

Organizations & group practices 12

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

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573344000000",
    "number": "1063445385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 HIGHLAND AVE",
            "address_2": "SUITE 7",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032836",
            "telephone_number": "509-758-1119",
            "fax_number": "509-758-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SIXTH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "83501",
            "telephone_number": "208-750-7445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "WA",
            "postal_code": "994032829",
            "country_code": "US",
            "telephone_number": "208-799-5522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORE",
        "first_name": "JANE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2019-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00036657",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M-4493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.