Individual provider Active NPI

Carlo Roberto Orozco, FNP-C

  • Nurse Practitioner
  • Coeur D Alene, ID
National Provider Identifier
1386091676
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
65298 Issued in ID
Practice address
212 S 11TH St Ste 1
Coeur D Alene, ID 83814-4000
Phone
(208) 243-9395
Fax
(208) 668-8213
NPI assigned
May 17, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61360767 WA
Family Nurse Practitioner 363LF0000X 65298 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61360767 WA
Nurse Practitioner 363L00000X NP65298 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 65298 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95004065 CA
Nurse Practitioner 363L00000X 65298 ID Primary

Addresses

Primary practice location

212 S 11TH St Ste 1
Coeur D Alene, ID 83814-4000

Mailing address

212 S 11TH St Ste 1
Coeur D'Alene, ID 83814-4000
Phone (208) 243-9395

Other practice location 1

101 W 8th Ave
Spokane, WA 99204-2307
Phone (509) 474-3260

Other identifiers 1

IdentifierTypeStateIssuer
1386091676MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID, WA, OR4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20170420001439 CA Practitioner - Nurse Practitioner 6608152921 Reassigns benefits to 1 organization
I20201104001780 ID Practitioner - Nurse Practitioner 6608152921 Reassigns benefits to 1 organization
I20250320000973 WA Practitioner - Nurse Practitioner 6608152921 Reassigns benefits to 2 organizations
I20250529001164 OR Practitioner - Nurse Practitioner 6608152921

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services WashingtonGroup PAC ID 0345139929, 778 clinicians
Daiya Healthcare PLLCGroup PAC ID 6002158615, 80 clinicians
Lifehouse Healthcare PLLCGroup PAC ID 2062872625, 4 clinicians

Practice addresses (Care Compare)

101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 474-3131

11120 NE 33Rd PL
Suite 202
Bellevue, WA 98004-1444
Phone (206) 823-1004

1250 W Ironwood Dr
Suite 335
Coeur D Alene, ID 83814-2682
Phone (208) 667-3113

212 S 11TH St
Suite 1
Coeur D Alene, ID 83814-4000

Hospital & facility affiliations

  • Prov Sacred HRT Med Ctr & Childs Hosp. Hospital, Spokane, WA, CCN 500054
  • Northwest Specialty Hospital Hospital, Post Falls, ID, CCN 130066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP65298IDMDNurse Practitioner
65298IDMDFamily Nurse Practitioner
AP61360767WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Dec 29, 2025 Accepting new patients
Daiya Healthcare PLLC CurrentSince Jan 10, 2025 Accepting new patients
Desert Medical Group, Inc. CurrentSince Mar 11, 2017 Accepting new patients
Providence Health & Services Washington CurrentSince Dec 29, 2025 Accepting new patients
Lifehouse Healthcare PLLC CurrentSince Jun 1, 2023 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Radia Inc P S PastSince Jan 17, 2022 Accepting new patients

Locations

275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814

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

212 S 11th St
Ste 1
Coeur D Alene, ID 83814
Phone (208) 243-9395

10435 SE Cora St
Portland, OR 97266
Phone (503) 760-1737

75 Shore Dr
Saint Helens, OR 97051
Phone (503) 397-2713

11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

Interoperability endpoints

  • Direct secure messaging: carlo.orozco.p5@direct.mydohc.nextgenshare.com
  • Direct secure messaging: corozco610684@direct.multicare.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1386091676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S 11TH ST STE 1",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838144000",
            "telephone_number": "208-243-9395",
            "fax_number": "951-466-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S 11TH ST STE 1",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144000",
            "telephone_number": "208-243-9395",
            "fax_number": "208-668-8213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042307",
            "country_code": "US",
            "telephone_number": "509-474-3260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OROZCO",
        "first_name": "CARLO",
        "middle_name": "ROBERTO",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-17",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61360767",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "65298",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61360767",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP65298",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "65298",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95004065",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "65298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386091676",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.