Lorena Margaret De la Rosa

Key facts

NPI: 1194201533
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: AP60869331 (WA)
Practice address: 22820 E Appleway Ave Ste a
Liberty Lake, WA 99019
Phone: (509) 220-3048
NPI assigned: Jul 18, 2018
Sex: Female
Sole proprietor: No

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.

The Neighborhood Clinic, LLC Family Medicine Physician · Boise, ID · NPI 1083098727

Medicare reassignment Care Compare group NPD FAMILY · ID
Auburn Crest Hospice, LLC Community Based Hospice Care Agency · Hayden, ID · NPI 1811170236

NPD

Hospital & facility affiliations 1

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

Hospice of North Idaho Inc Community Based Hospice Care Agency · Coeur D Alene, ID · NPI 1245235878

Care Compare affiliation Hospice

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2018
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: The Neighborhood Clinic LLC (6 clinicians)

Practice addresses (Care Compare)

Hayden, ID 83835
Phone (208) 665-8111

Hospital & facility affiliations

Hospice of North Idaho Hospice · Coeur D Alene, ID · CCN 131504

Medicare participation

Medicare fee-for-service enrollment: Enrolled in ID
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20220516000330	ID	Practitioner - Nurse Practitioner	0941550693	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
AP60869331	WA	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Auburn Crest Hospice, LLC		Current since Dec 9, 2025	Accepting new patients
The Neighborhood Clinic, LLC	Family	Current since Dec 9, 2025	Accepting new patients

Locations

3751 N Cloverdale Rd
Boise, ID 83713
Phone (208) 321-5073

8382 N Wayne Dr
Ste 205
Hayden, ID 83835
Phone (208) 506-5736

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	AP60869331	WA	Yes

Addresses

Primary practice location

22820 E Appleway Ave Ste a
Liberty Lake, WA 99019

Mailing address

16503 W Summerfield Rd
Post Falls, ID 83854-5756
Phone (626) 422-5227

Other providers in Liberty Lake, WA

All providers in Liberty Lake, WA · Family Nurse Practitioner in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.