Kimberly M Hardwick, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

61529 Issued in ID

Practice address

700 W Ironwood Dr Ste 130
Coeur D Alene, ID 83814-4404

Phone

(509) 228-1000

Fax

(509) 252-9300

NPI assigned

Jun 19, 2019

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

Other names 1

• Kimberly M Fowler Former name

Medicare fee-for-service enrollment

Enrolled in WA, ID2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cancer Care Northwest Centers P SGroup PAC ID 4688561939, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
• Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328
• Newport Community Hospital Hospital, Newport, WA, CCN 501310
• Shoshone Medical Center Hospital, Kellogg, ID, CCN 131314
• Boundary Community Hospital Hospital, Bonners Ferry, ID, CCN 131301

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cancer Care Northwest Centers P S

  dba Cancer Care Northwest

  • Hematology & Oncology Physician
  • Spokane Valley, WA
  • NPI 1922072081

  ID, Medical Oncology

  Medicare reassignment Care Compare group NPD
• Cancer Care Northwest Centers P S

  • Non-Pharmacy Dispensing Site
  • Spokane, WA
  • NPI 1144900705
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bonner General Hospital Inc.

  dba Bonner General Health

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963
  Care Compare affiliation
• Boundary Community Hospital

  • Critical Access Hospital
  • Bonners Ferry, ID
  • NPI 1801896683
  Care Compare affiliation
• Kootenai Health, Inc.

  • General Acute Care Hospital
  • Coeur d'Alene, ID
  • NPI 1992798409
  Care Compare affiliation
• Shoshone Medical Center

  • Critical Access Hospital
  • Kellogg, ID
  • NPI 1043215437
  Care Compare affiliation
• Pend Oreille County Public Hospital District No 1

  dba Newport Community Hospital

  • Critical Access Hospital
  • Newport, WA
  • NPI 1780778423
  Care Compare affiliation

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1164082244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N VERCLER RD STE 101",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161020",
            "telephone_number": "509-228-1000",
            "fax_number": "509-252-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR STE 130",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144404",
            "telephone_number": "509-228-1000",
            "fax_number": "509-252-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDWICK",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "61529",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "61529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "FOWLER",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Teresa Lynn Hansen, MA, LPC
• Amber Hanson
• Carl L Hanson, MD
• Melissa Hanson, CST, CSFA
• Paige A Harder, RN /NP
• Cameron Kleck Hardy, DO
• Jeffrey Benson Hargraves, PA-C
• Cory Cameron Harker, DDS
• Brian Leon Harlan, MD
• Zachary Daniel Harman, APRN

• Family Nurse Practitioner in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.