Emmalee Anne Gerstenberger, CNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

57748 Issued in ID

Practice address

700 W. Ironwood Drive
Suite 155
Coeur D'Alene, ID 83814-4462

Phone

(208) 667-0585

Fax

(208) 765-6075

NPI assigned

Aug 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Vanderbilt University School of Medicine, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: emmalee.gerstenberger@cdapeds.directbygreenway.com
• Direct secure messaging: egerstenberger348885@direct.multicare.org

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.

• Dirne Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Coeur D Alene, ID
  • NPI 1285686477
  Medicare reassignment
• Coeur D'Alene Pediatrics PA

  • Pediatrics Physician
  • Coeur D Alene, ID
  • NPI 1255496980
  NPD (past)
• Jasper Mountain

  • Mental Illness Community Based Residential Treatment Facility
  • Jasper, OR
  • NPI 1497821680
  NPD (past)

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1124211495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W. IRONWOOD DRIVE",
            "address_2": "SUITE 155",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838144462",
            "telephone_number": "208-667-0585",
            "fax_number": "208-765-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W. IRONWOOD DRIVE",
            "address_2": "SUITE 155",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838144462",
            "telephone_number": "208-667-0585",
            "fax_number": "208-765-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTENBERGER",
        "first_name": "EMMALEE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "ID",
            "license": "57748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Leigh Edwards, MD
• J Roye Ely, N.P.
• Eye Pros Coeur D Alene LLC
• Eyemart Express LLC
• Richard Andrew Flygare, P.A.-C.
• Kirandeep K Gill, D.O.
• Jason Hayes Goodwin, LCPC, CDAC
• Healed Hearts, P.L.L.C.
• Health Care for Women, P a
• Hearts at Home LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.