Organization Active NPI

Premier Spine PLLC

  • Orthopaedic Surgery of the Spine Physician
  • Coeur D Alene, ID
National Provider Identifier
1487480224
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
PREMIER SPINE PLLC
Practice address
850 W Ironwood Dr
Coeur D Alene, ID 83814-4903
Phone
(208) 770-3536
NPI assigned
Sep 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Stefan Noel Yakel, DONPI 1245678085
Title
Owner
Phone
(208) 770-3536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

850 W Ironwood Dr
Coeur D Alene, ID 83814-4903

Mailing address

850 W Ironwood Dr Ste 301
Coeur D Alene, ID 83814-4903
Phone (208) 770-3536

Other practice location 1

229 S 7th St Fl 4
St Maries, ID 83861-1803
Phone (208) 770-3536

Other practice location 2

423 N Third Ave Ste 110
Sandpoint, ID 83864-1511
Phone (208) 770-3536

Other identifiers 1

IdentifierTypeStateIssuer
1487480224MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241217001468 ID Part B Supplier - Clinic/Group Practice 8820525751 Receives reassigned benefits from 2 practitioners
Practice locations: Coeur D Alene, ID

National Provider Directory

National Provider Directory

Locations

850 W Ironwood Dr
Ste 301A
Coeur D Alene, ID 83814

850 W Ironwood Dr
Coeur D Alene, ID 83814
Phone (208) 664-5225

850 W Ironwood Dr
Ste 101
Coeur D Alene, ID 83814
Phone (208) 667-2309

423 N Third Ave
Ste 110
Sandpoint, ID 83864
Phone (208) 265-1011

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1487480224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W IRONWOOD DR STE 301",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144903",
            "telephone_number": "208-770-3536",
            "fax_number": "208-770-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W IRONWOOD DR",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144903",
            "telephone_number": "208-770-3536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 S 7th St Fl 4",
            "address_purpose": "LOCATION",
            "city": "St Maries",
            "state": "ID",
            "postal_code": "838611803",
            "country_code": "US",
            "telephone_number": "208-770-3536",
            "fax_number": "208-770-3546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "423 N Third Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Sandpoint",
            "state": "ID",
            "postal_code": "838641511",
            "country_code": "US",
            "telephone_number": "208-770-3536",
            "fax_number": "208-770-3546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER SPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "YAKEL",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-770-3536",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487480224",
            "state": "ID"
        }
    ],
    "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 May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.