Active NPI
Nathan Wheatley
- Medical Physician Assistant
- Coeur D Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA-1417
- Practice address
- 1090 W Park PL
Coeur D Alene, ID 83814-2785 - Phone
- (208) 292-0292
- Fax
- (208) 292-0705
- NPI assigned
- Oct 17, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA-1417 | ID | Primary |
Addresses
Primary practice location
1090 W Park PL
Coeur D Alene, ID 83814-2785
Mailing address
PO Box 3648
Coeur D Alene, ID 83816-2522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1605 N Catherine St
Post Falls, ID 83854-7237
Phone (208) 773-6145
2100 E Sherman Ave
Coeur D Alene, ID 83814-5335
Phone (208) 215-7166
2340 W Seltice Way
Coeur D Alene, ID 83814-8989
Phone (208) 819-4970
3400 E Fernan Hill Rd
Coeur D Alene, ID 83814-7588
Phone (208) 819-4970
3989 N Player Dr
Coeur D Alene, ID 83815-8000
Phone (208) 292-4163
632 N 21St St
Coeur D Alene, ID 83814-5510
Phone (208) 665-0580
824 N 23Rd St
Coeur D Alene, ID 83814-5909
Phone (208) 964-4545
840 E Dalton Ave
Coeur D Alene, ID 83815-9338
Phone (208) 665-2100
Hospital & facility affiliations
- Reliant Healthcare, Inc
- Ahc Home Health of Coeur D Alene LLC
- Hospice of North Idaho
- Auburn Crest Hospice
- Kootenai Health
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-1417 | ID | MD | Medical Physician Assistant |
Organizations & group practices 3
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Coeur D Alene, ID
- NPI 1932725215
-
- Family Medicine Physician
- Coeur D Alene, ID
- NPI 1861867426
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Coeur D Alene, ID
- NPI 1457802860
-
- Community Based Hospice Care Agency
- Hayden, ID
- NPI 1811170236
-
- 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476662400000",
"number": "1407307259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3648",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838162522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 W PARK PL",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142785",
"telephone_number": "208-292-0292",
"fax_number": "208-292-0705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEATLEY",
"first_name": "NATHAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-17",
"last_updated": "2016-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ID",
"license": "PA-1417",
"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 Oct 17, 2016; 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.