Individual provider Active NPI

Tracy Streibick Flynn, FNP, NP-C

  • Nurse Practitioner
  • Lewiston, ID
National Provider Identifier
1073983748
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP1569-A Issued in ID
Practice address
1203 Idaho St
Lewiston, ID 83501-1940
Phone
(208) 848-8300
NPI assigned
Oct 6, 2015
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP1569-A ID Primary

Addresses

Primary practice location

1203 Idaho St
Lewiston, ID 83501-1940

Mailing address

217 N Polk St
Moscow, ID 83843-2744
Phone (208) 413-8205

Other practice location 1

611 N Iron Bridge Way
Spokane, WA 99202-4932
Phone (509) 444-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180815004031 ID Practitioner - Nurse Practitioner 4880904119 Reassigns benefits to 2 organizations
I20260116003364 WA Practitioner - Nurse Practitioner 4880904119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PPM Washington LLCGroup PAC ID 0941697569, 7 clinicians
Finding Home Healthcare, Inc.Group PAC ID 7517248537, 17 clinicians

Practice addresses (Care Compare)

1370 Bridge St
Clarkston, WA 99403-2332
Phone (509) 758-2568

1675 E Riverside Dr
Suite 200
Eagle, ID 83616-7473
Phone (888) 253-6598

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP1569-AIDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association of Spokane Current Accepting new patients
Community Health Association of Spokane CurrentSince Jan 16, 2024 Accepting new patients
PPM Washington LLC CurrentSince Nov 18, 2025 Accepting new patients
Finding Home Healthcare, Inc. CurrentSince Nov 4, 2025 Accepting new patients
Community Health Association of Spokane CurrentSince Jan 16, 2024 Accepting new patients
Finding Home Healthcare, Inc. CurrentSince Nov 4, 2025 Accepting new patients
St. Joseph Hospital LLC PastSince Jul 1, 2018 Accepting new patients

Locations

1675 E Riverside Dr
Ste 200
Eagle, ID 83616
Phone (208) 207-2726

1203 Idaho St
Lewiston, ID 83501
Phone (208) 848-8300

803 S Main St
Ste 120
Moscow, ID 83843
Phone (208) 848-8300

1916 N 700 W
Ste 110
Layton, UT 84041
Phone (801) 444-0221

1370 Bridge St
Clarkston, WA 99403
Phone (509) 758-2568

611 N Iron Bridge Way
Spokane, WA 99202

Organizations & group practices 7

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1073983748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N POLK ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432744",
            "telephone_number": "208-413-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 IDAHO ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835011940",
            "telephone_number": "208-848-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 N Iron Bridge Way",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992024932",
            "country_code": "US",
            "telephone_number": "509-444-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "TRACY",
        "middle_name": "STREIBICK",
        "credential": "FNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP1569-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.