Brett Michael Waite, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-2640 Issued in ID

Practice address

3815 N Schreiber Way Unit 102
Coeur D Alene, ID 83815-8434

Phone

(208) 667-4557

Fax

(208) 765-2887

NPI assigned

Sep 26, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO, 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

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ironwood Family Practice, PAGroup PAC ID 3971698424, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bwaitt765002@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.

• Ironwood Family Practice, PA

  • Family Medicine Physician
  • Coeur D Alene, ID
  • NPI 1083650931
  Medicare reassignment Care Compare group
• Peak Vista Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Colorado Springs, CO
  • NPI 1730166034
  Medicare reassignment NPD
• Peak Vista Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Colorado Springs, CO
  • NPI 1871347443
  NPD

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

• Kootenai Health, Inc.

  • General Acute Care Hospital
  • Coeur D Alene, ID
  • NPI 1992798409
  Care Compare affiliation

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

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1275816274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 N SCHREIBER WAY UNIT 102",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158434",
            "telephone_number": "208-667-4557",
            "fax_number": "208-765-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 N SCHREIBER WAY UNIT 102",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158434",
            "telephone_number": "208-667-4557",
            "fax_number": "208-765-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "BRETT",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-26",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75083078",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Vonwahlde, PHARMD
• Sarah B Vore, OT
• Aaron Eugene Wagner, M.D.
• Jacqueline Lee Wagner, ARNP
• Anne Bacon Wagstaff, LPC
• Kenneth John Wakefield, M.D.
• Jaki Waldvogel
• Walgreen Co
• Walgreen Co
• Julie Dawn Walker Jones, LCPC

• Physician Assistant in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.