Active NPI
Gary Arthur Hurst, ARNP
- Nurse Practitioner
- Post Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP-833A
- Practice address
- 1641 E Polston Ave Ste 101
Post Falls, ID 83854-7852 - Phone
- (208) 457-4208
- Fax
- (208) 457-4197
- NPI assigned
- Jul 10, 2006
- Last updated
- Jan 28, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60970561 | WA | |
| Nurse Practitioner | 363L00000X | NP-833A | ID | Primary |
| Family Nurse Practitioner | 363LF0000X | NP833A | ID | |
| Family Nurse Practitioner | 363LF0000X | 0351131 | MD | |
| Family Nurse Practitioner | 363LF0000X | 110472 | NE | |
| Registered Nurse | 163W00000X | 52962 | NE |
Addresses
Primary practice location
1641 E Polston Ave Ste 101
Post Falls, ID 83854-7852
Mailing address
1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300
Other practice location 1
7600 N Mineral Dr Ste 450
Dalton Gardens, ID 83815-7709
Phone (208) 457-4208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114951647 | Medicaid | ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5633 N Lidgerwood St
Suite 1800
Spokane, WA 99208-1295
Phone (509) 252-1700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP833A | ID | MD | Family Nurse Practitioner |
| 0351131 | MD | MD | Family Nurse Practitioner |
| 110472 | NE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services - Washington | Past | Accepting new patients |
Locations
1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701
5633 N Lidgerwood St
Ste 1800
Spokane, WA 99208
Phone (509) 252-1700
Interoperability endpoints
- ghurst2014653@wm.providencedirect.org
Organizations & group practices 3
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 Providence Medical Group
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
-
dba Providence North East Washington Medical Group
- Family Medicine Physician
- Colville, WA
- NPI 1083968879
-
dba Providence St. Peter Chemical Dependency Center
- Substance Use Disorder Rehabilitation Hospital Unit
- Hoquiam, WA
- NPI 1043374119
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Mount Carmel Hospital
- Critical Access Hospital
- Colville, WA
- NPI 1003067679
-
dba Providence Holy Family Hospital
- General Acute Care Hospital
- Spokane, WA
- NPI 1225289895
-
dba Providence St Lukes Rehabilitation Medical Center
- Rehabilitation Hospital
- Spokane, WA
- NPI 1497752091
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1114951647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1593 E POLSTON AVE",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838545326",
"telephone_number": "208-262-2300",
"fax_number": "208-262-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1641 E POLSTON AVE STE 101",
"city": "POST FALLS",
"state": "ID",
"postal_code": "838547852",
"telephone_number": "208-457-4208",
"fax_number": "208-457-4197"
}
],
"practiceLocations": [
{
"address_1": "7600 N Mineral Dr Ste 450",
"address_purpose": "LOCATION",
"city": "Dalton Gardens",
"state": "ID",
"postal_code": "838157709",
"country_code": "US",
"telephone_number": "208-457-4208",
"fax_number": "208-457-4197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HURST",
"first_name": "GARY",
"middle_name": "ARTHUR",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60970561",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "NP-833A",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "NP833A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "0351131",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "110472",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "52962",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114951647",
"state": "ID"
}
],
"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 Jan 28, 2021; 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.