Individual provider Active NPI

Lisa R Kailey, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Coeur d'Alene, ID
National Provider Identifier
1316559073
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
68388 Issued in ID
Practice address
3400 E Fernan Hill Rd
Coeur D Alene, ID 83814-7588
Phone
(208) 819-2183
NPI assigned
Aug 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 071833623 NH
Family Nurse Practitioner 363LF0000X RN2337812 MA
Family Nurse Practitioner 363LF0000X 68388 ID Primary

Addresses

Primary practice location

3400 E Fernan Hill Rd
Coeur D Alene, ID 83814-7588

Mailing address

3400 E Fernan Hill Rd
Coeur D Alene, ID 83814-7588
Phone (208) 819-2183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, WA2 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

Enrollment IDStateProvider typePAC IDDetails
I20210702000538 ID Practitioner - Nurse Practitioner 2264847193 Reassigns benefits to 3 organizations
I20230330000928 WA Practitioner - Nurse Practitioner 2264847193 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meza Post Acute and Long Term Care PLLCGroup PAC ID 4981028503, 26 clinicians

Practice addresses (Care Compare)

17121 E 8TH Ave
Spokane Valley, WA 99016-8556
Phone (208) 819-2183

2340 W Seltice Way
Coeur D Alene, ID 83814-8989
Phone (208) 819-4970

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.65 of 100Reported as apm
Quality
89.26
Promoting interoperability
69.9
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
68388IDMDFamily Nurse Practitioner
RN2337812MAMDFamily Nurse Practitioner
071833623NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
Signify Health, LLC CurrentSince Nov 10, 2023 Accepting new patients
Meza Consulting LLC Family Medicine CurrentSince May 1, 2025 Accepting new patients
Meza Post Acute and Long Term Care, PLLC CurrentSince Jul 6, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Dec 1, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 12, 2023 Accepting new patients

Locations (25 of 27)

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

2426 N Merritt Creek Loop
Ste A
Coeur D Alene, ID 83814
Phone (208) 668-7000

2514 N 7th St
Coeur D Alene, ID 83814
Phone (208) 664-8128

2100 E Sherman Ave
Coeur D Alene, ID 83814
Phone (208) 215-7166

240 E Kathleen Ave
Coeur D Alene, ID 83815
Phone (208) 495-4896

2200 N Ironwood Pl
Coeur D Alene, ID 83814
Phone (208) 667-6486

210 W Lacrosse Ave
Coeur D Alene, ID 83814
Phone (208) 664-2185

2772 W Avante Loop
Coeur D Alene, ID 83815
Phone (208) 215-3849

410 NE 2nd St
Grangeville, ID 83530
Phone (208) 983-1131

10547 N Reed Rd
Hayden, ID 83835
Phone (208) 691-9664

10585 N Reed Rd
Hayden, ID 83835
Phone (208) 691-9665

9873 N Buttercup Ln
Hayden, ID 83835
Phone (208) 762-9001

1027 E Honeysuckle Ave
Hayden Lake, ID 83835
Phone (208) 719-9405

325 Warner Dr
Lewiston, ID 83501
Phone (208) 791-6183

3315 8th St
Lewiston, ID 83501
Phone (208) 743-9543

52 N Cedar St
Post Falls, ID 83854
Phone (208) 661-8635

460 N Garden Plz
Post Falls, ID 83854
Phone (208) 777-0318

1605 N Catherine St
Post Falls, ID 83854
Phone (208) 773-6145

3782 E Carradale Ave
Post Falls, ID 83854

13400 N Meyer Rd
Rathdrum, ID 83858
Phone (208) 687-0495

624 S Division Ave
Sandpoint, ID 83864
Phone (208) 265-2354

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

1242 11th St
Clarkston, WA 99403
Phone (208) 401-9618

711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1316559073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E FERNAN HILL RD",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838147588",
            "telephone_number": "208-819-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E FERNAN HILL RD",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838147588",
            "telephone_number": "208-819-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAILEY",
        "first_name": "LISA",
        "middle_name": "R",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "071833623",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2337812",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "68388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.