Active NPI
Lisa R Kailey, MSN, APRN, FNP-BC
- Family Nurse Practitioner
- Coeur d'Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 68388
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
- Reliant Healthcare, Inc
- Eden Home Health
- North Idaho Home Health
- Hospice of North Idaho
- Auburn Crest Hospice
- Kootenai Health
- Shoshone Medical Center
- Benewah Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.65 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 68388 | ID | MD | Family Nurse Practitioner |
| RN2337812 | MA | MD | Family Nurse Practitioner |
| 071833623 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sound Inpatient Physicians PLLC | Family Medicine | Current | Accepting new patients |
| Signify Health, LLC | Current | Accepting new patients | |
| Meza Consulting LLC | Family Medicine | Current | Accepting new patients |
| Meza Post Acute and Long Term Care, PLLC | Current | Accepting new patients | |
| South Sound Inpatient Physicians PLLC | Family Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Family Medicine | Current | Accepting new patients |
| Signify Health Medical Associates, PLLC | Current | 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Coeur d'Alene, ID
- NPI 1932725215
WA
-
dba Sound Inpatient Physicians
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
Family Medicine
-
dba Sound Inpatient Physicians
- Internal Medicine Physician
- Burien, WA
- NPI 1467629196
Family Medicine
-
dba Sound Inpatient Physicians
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1508023789
Family Medicine
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Hayden, ID
- NPI 1811170236
-
- Critical Access Hospital
- St Maries, ID
- NPI 1548320435
-
dba Eden Home Health
- Home Health Agency
- Ponderay, ID
- NPI 1346898830
-
- Community Based Hospice Care Agency
- Coeur d'Alene, ID
- NPI 1245235878
-
- General Acute Care Hospital
- Coeur d'Alene, ID
- NPI 1992798409
-
- Home Health Agency
- Coeur d'Alene, ID
- NPI 1255722682
-
- Critical Access Hospital
- Kellogg, ID
- NPI 1043215437
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.