Individual provider Active NPI

Nathaniel Ashby Van Valin, PA

  • Medical Physician Assistant
  • Post Falls, ID
National Provider Identifier
1386821759
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1482 Issued in ID
Practice address
750 N Syringa St Ste 100
Post Falls, ID 83854-5275
Phone
(208) 262-2600
Fax
(208) 262-2700
NPI assigned
Jan 28, 2008
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU
Medical Physician Assistant 363AM0700X PA1482 ID Primary

Addresses

Primary practice location

750 N Syringa St Ste 100
Post Falls, ID 83854-5275

Mailing address

1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2498

Other practice location 1

315 W Dalton Ave Ste A
Coeur D Alene, ID 83815-8600
Phone (208) 209-2060

Other practice location 2

7173 E Super 1 Loop Ste A
Athol, ID 83801-7109
Phone (208) 561-9970

Other practice location 3

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-5700

Other practice location 4

1875 N Lakewood Dr Fl 3
Coeur D Alene, ID 83814-4928
Phone (509) 381-3540

Other identifiers 1

IdentifierTypeStateIssuer
1386821759MedicaidID

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nvanvalin351222@direct.multicare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 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
I20080213000055 WA Practitioner - Physician Assistant 5092898171 Reassigns benefits to 2 organizations
I20170525000688 ID Practitioner - Physician Assistant 5092898171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Idaho Day Surgery LLCGroup PAC ID 0840101218, 87 clinicians
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians

Practice addresses (Care Compare)

1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000

315 W Dalton Ave
Coeur D Alene, ID 83815-8600

7173 E Super 1 Loop
Athol, ID 83801-7109

750 N Syringa St
Post Falls, ID 83854-5275

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1482IDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NW Wound Care Specialists PLLC CurrentSince Jan 1, 2026 Accepting new patients
North Idaho Day Surgery LLC Past Accepting new patients

Locations

1875 N Lakewood Dr
Fl 3
Coeur D Alene, ID 83814
Phone (509) 343-0250

Interoperability endpoints

  • Direct secure messaging: nvanvalin351222@direct.multicare.org

Organizations & group practices 6

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 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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1386821759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 E POLSTON AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545326",
            "telephone_number": "208-262-2498",
            "fax_number": "509-381-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N SYRINGA ST STE 100",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545275",
            "telephone_number": "208-262-2600",
            "fax_number": "208-262-2700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W Dalton Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838158600",
            "country_code": "US",
            "telephone_number": "208-209-2060",
            "fax_number": "208-209-2070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7173 E Super 1 Loop Ste A",
            "address_purpose": "LOCATION",
            "city": "Athol",
            "state": "ID",
            "postal_code": "838017109",
            "country_code": "US",
            "telephone_number": "208-561-9970",
            "fax_number": "208-561-9997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 Kootenai Health Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838146051",
            "country_code": "US",
            "telephone_number": "208-625-5700",
            "fax_number": "208-625-5708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1875 N Lakewood Dr Fl 3",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838144928",
            "country_code": "US",
            "telephone_number": "509-381-3540",
            "fax_number": "509-381-3540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN VALIN",
        "first_name": "NATHANIEL",
        "middle_name": "ASHBY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA1482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386821759",
            "state": "ID"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nvanvalin351222@direct.multicare.org",
            "affiliation": "N",
            "address_1": "2003 Kootenai Health Way",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838146051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.