Active NPI
Leanne M Rousseau, M.D.
- Family Medicine Physician
- Post Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M-6045
- Practice address
- 925 E Polston Ave
Post Falls, ID 83854-9049 - Phone
- (208) 618-0787
- Fax
- (844) 807-3782
- NPI assigned
- May 17, 2006
- Last updated
- Oct 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M-6045 | ID | Primary |
| Psychiatry Physician | 2084P0800X | M6045 | ID |
Addresses
Primary practice location
925 E Polston Ave
Post Falls, ID 83854-9049
Mailing address
PO Box 1387
Hayden, ID 83835-1387
Phone (208) 415-0299
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Utah School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1090 W Park PL
Coeur D Alene, ID 83814-2785
Phone (208) 292-0290
16760 N Hwy 41
Rathdrum, ID 83858-8715
Phone (208) 620-5250
3700 W Seltice Way
Coeur D Alene, ID 83814-8921
Phone (208) 620-5255
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M6045 | ID | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dirne Health Centers, Inc. | Family Medicine | Current | Accepting new patients |
| Dirne Health Centers, Inc. | Family Medicine | Current | Accepting new patients |
Locations
1090 W Park Pl
Coeur D Alene, ID 83814
Phone (208) 215-2005
2205 N Ironwood Pl
Coeur D Alene, ID 83814
Phone (208) 292-0303
3700 W Seltice Way
Coeur D Alene, ID 83814
Phone (208) 620-5250
916 W Ironwood Dr
Coeur D Alene, ID 83814
Phone (208) 292-0990
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
Interoperability endpoints
- leanne.rousseau.1@16899.direct.athenahealth.com
- lrousseau627432@direct.multicare.org
Organizations & group practices 2
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.
-
dba Heritage Health Main
- Federally Qualified Health Center (FQHC)
- Coeur d'Alene, ID
- NPI 1285686477
Family Medicine
-
dba Heritage Health CFHL CDA
- Federally Qualified Health Center (FQHC)
- Coeur d'Alene, ID
- NPI 1194397240
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coeur d'Alene, ID
- NPI 1992798409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1093768707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1387",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838351387",
"telephone_number": "208-415-0299",
"fax_number": "208-625-2070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 E POLSTON AVE",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838549049",
"telephone_number": "208-618-0787",
"fax_number": "844-807-3782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSSEAU",
"first_name": "LEANNE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ID",
"license": "M-6045",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ID",
"license": "M6045",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Post Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.