Jana M Qualls, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP-1631A Issued in ID

Practice address

913 W Canfield Ave
Coeur D Alene, ID 83815-9764

Phone

(208) 957-7808

Fax

(949) 957-2456

NPI assigned

Apr 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mind and Body RestoredGroup PAC ID 6901263417, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Mind and Body Restored

  • Pain Medicine Physician
  • Coeur D Alene, ID
  • NPI 1295420651
  Medicare reassignment Care Compare group NPD
• Tennessee Em-I Medical Services, PC

  • Emergency Medicine Physician
  • Bartlett, TN
  • NPI 1386692754
  NPD (past)
• Tennessee Em-I Medical Services, PC

  • Emergency Medicine Physician
  • Memphis, TN
  • NPI 1497703714
  NPD (past)
• Tennessee Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Memphis, TN
  • NPI 1790919041
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1083670889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3117 W AUGUSTIN DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838155362",
            "telephone_number": "208-957-7808",
            "fax_number": "949-695-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 W CANFIELD AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159764",
            "telephone_number": "208-957-7808",
            "fax_number": "949-957-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "JANA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1631A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Eugene Pupo, DC
• Pure Inc
• Peter R Purrington, MD
• Vadim P Pustynovich, FNP-C
• Crystal Lee Pyrak, MD
• Jennifer Eileen Queen, M.ED. BCBA
• Nallely Quijas Huerta
• Parker Lyons Quimby, MD
• Connor William Quinn, MD
• Timothy Quinn, MD

• Family Nurse Practitioner in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.