Individual provider Active NPI

Francis Detar, FNP

  • Family Nurse Practitioner
  • Coeur d'Alene, ID
National Provider Identifier
1417498247
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
55258 Issued in ID
Practice address
6795 N Mineral Dr
Coeur D Alene, ID 83815-8700
Phone
(208) 620-5250
Fax
(208) 667-6547
NPI assigned
Mar 13, 2017
Last updated
Mar 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 55258 ID Primary

Addresses

Primary practice location

6795 N Mineral Dr
Coeur D Alene, ID 83815-8700

Mailing address

6795 N Mineral Dr
Coeur D Alene, ID 83815-8700
Phone (208) 620-5250

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170724003411 ID Practitioner - Nurse Practitioner 1254601214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Professional AssociatesGroup PAC ID 6305812017, 8 clinicians

Practice addresses (Care Compare)

8181 N Cornerstone Dr
Hayden Lake, ID 83835-8752
Phone (208) 772-0785

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Professional Associates CurrentSince Oct 15, 2019 Accepting new patients
Dirne Health Centers Inc Past Accepting new patients

Locations

8181 N Cornerstone Dr
Hayden Lake, ID 83835
Phone (208) 772-0785

Interoperability endpoints

  • Direct secure messaging: fdetar627377@direct.multicare.org

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, 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": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1417498247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6795 N MINERAL DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158700",
            "telephone_number": "208-620-5250",
            "fax_number": "208-667-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 N MINERAL DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158700",
            "telephone_number": "208-620-5250",
            "fax_number": "208-667-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETAR",
        "first_name": "FRANCIS",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "55258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.