Individual provider Active NPI

Anna Mena-Schaures

  • Family Nurse Practitioner
  • Sandpoint, ID
National Provider Identifier
1104430644
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
65624 Issued in ID
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

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200917003202 ID Practitioner - Nurse Practitioner 0345668604 Reassigns benefits to 1 organization

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
Alpine Family MedicineGroup PAC ID 3274804109, 2 clinicians

Practice addresses (Care Compare)

1555 Ontario St
Sandpoint, ID 83864-1786
Phone (208) 597-7910

Hospital & facility affiliations

  • Eden Home Health Home health agency, Ponderay, ID, CCN 137122
  • Welcome Home Healthcare Services, LLC Home health agency, Sandpoint, ID, CCN 137131
  • Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328
  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65624IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Family Chiropractic LLC CurrentSince Sep 6, 2020 Accepting new patients
Alpine Family Medicine CurrentSince Sep 3, 2020 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.