Active NPI
Anna Mena-Schaures
- Family Nurse Practitioner
- Sandpoint, ID
National Provider Identifier
1104430644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 65624
- Practice address
- 1013 Lake St Ste 102
Sandpoint, ID 83864-5002 - Phone
- (208) 597-7910
- NPI assigned
- Sep 2, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 65624 | ID | Primary |
Addresses
Primary practice location
1013 Lake St Ste 102
Sandpoint, ID 83864-5002
Mailing address
1013 Lake St
Ste 102
Sandpoint, ID 83864-5002
Phone (208) 290-1251
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1555 Ontario St
Sandpoint, ID 83864-1786
Phone (208) 597-7910
Hospital & facility affiliations
- Eden Home Health
- Welcome Home Healthcare Services, LLC
- Bonner General Hospital
- Kootenai Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65624 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Family Chiropractic LLC | Current | Accepting new patients | |
| Alpine Family Medicine | Current | Accepting new patients |
Locations
1555 Ontario St
Sandpoint, ID 83864
Phone (208) 597-7910
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Sandpoint, ID
- NPI 1194253336
-
- Chiropractor
- Sandpoint, ID
- NPI 1871146050
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Sandpoint, ID
- NPI 1154563963
-
- Home Health Agency
- Ponderay, ID
- NPI 1346898830
-
- General Acute Care Hospital
- Coeur D Alene, ID
- NPI 1992798409
-
- Home Health Agency
- Sandpoint, ID
- NPI 1467808048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1104430644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 LAKE ST",
"address_2": "STE 102",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838645002",
"telephone_number": "208-290-1251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 LAKE ST STE 102",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838645002",
"telephone_number": "208-597-7910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENA-SCHAURES",
"first_name": "ANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-02",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "65624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandpoint, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.