Individual provider Active NPI

Cyndi Marie Gerstenberger, APRN PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sandpoint, ID
National Provider Identifier
1336914985
Registry record updated Feb 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
78103 Issued in ID
Practice address
1309 Ponderosa Dr Ste 203
Sandpoint, ID 83864-8278
Phone
(208) 946-8044
Fax
(855) 610-2310
NPI assigned
Nov 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 78103 ID Primary

Addresses

Primary practice location

1309 Ponderosa Dr Ste 203
Sandpoint, ID 83864-8278

Mailing address

PO Box 618
Clark Fork, ID 83811-0618
Phone (208) 946-8044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 5, 2026 through Jun 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
78103IDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Psychiatric Wellness, PLLC Psychiatric/Mental Health CurrentSince Nov 10, 2024 Accepting new patients
Mountain View Family Medicine Inc. PastSince Nov 1, 2023 Accepting new patients

Locations

1309 Ponderosa Dr
Ste 203
Sandpoint, ID 83864
Phone (208) 278-6027

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.

NPI Registry JSON

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1336914985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 618",
            "city": "CLARK FORK",
            "state": "ID",
            "postal_code": "838110618",
            "telephone_number": "208-946-8044",
            "fax_number": "855-610-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 PONDEROSA DR STE 203",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838648278",
            "telephone_number": "208-946-8044",
            "fax_number": "855-610-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTENBERGER",
        "first_name": "CYNDI",
        "middle_name": "MARIE",
        "credential": "APRN PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-22",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "78103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

Verify at the official NPI Registry.