Individual provider Active NPI

Annie M Moser Allen, APRN

  • Nurse Practitioner
  • Coeur D Alene, ID
National Provider Identifier
1306608658
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
63423 Issued in ID
Practice address
700 W Ironwood Dr Ste 258
Coeur D Alene, ID 83814-4400
Phone
(208) 625-6877
Fax
(208) 625-6878
NPI assigned
Jan 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 63423 ID Primary

Addresses

Primary practice location

700 W Ironwood Dr Ste 258
Coeur D Alene, ID 83814-4400

Mailing address

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4515

Other names 1

  • Annie Michele Moser Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amoser@kh.org Health Information Exchange (HIE) Kootenai Health, Inc.

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240417003896 ID Practitioner - Nurse Practitioner 0749629103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians

Practice addresses (Care Compare)

700 W Ironwood Dr
Suite 258
Coeur D Alene, ID 83814-4400
Phone (208) 625-6799

Hospital & facility affiliations

  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
  • Benewah Community Hospital Hospital, Saint Maries, ID, CCN 131317
  • Northwest Specialty Hospital Hospital, Post Falls, ID, CCN 130066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Health, Inc. Single Specialty CurrentSince Mar 8, 2024 Accepting new patients
Kootenai Health, Inc. CurrentSince Mar 8, 2024 Accepting new patients
Kootenai Health, Inc. Single Specialty Current Accepting new patients

Locations

1919 Lincoln Way
Ste 110
Coeur D Alene, ID 83814
Phone (208) 625-4515

700 W Ironwood Dr
Ste 258
Coeur D Alene, ID 83814
Phone (208) 625-6799

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

423 N Third Ave
Ste 355
Sandpoint, ID 83864
Phone (208) 263-2505

Interoperability endpoints

  • Direct secure messaging: amoser610603@direct.multicare.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 and National Provider Directory roles.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1306608658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 KOOTENAI HEALTH WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146051",
            "telephone_number": "208-625-4515",
            "fax_number": "208-625-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR STE 258",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144400",
            "telephone_number": "208-625-6877",
            "fax_number": "208-625-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSER ALLEN",
        "first_name": "ANNIE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "63423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amoser@kh.org",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Kootenai Health, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1919 Lincoln Way Ste 110",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838142527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "MOSER",
            "middle_name": "MICHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.