Individual provider Active NPI

Patricia Ann Woods, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Coeur D Alene, ID
National Provider Identifier
1558032300
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
54168 Issued in ID
Practice address
1221 W Ironwood Dr Ste 100
Coeur D Alene, ID 83814-1402
Phone
(208) 667-8889
Fax
(800) 521-0188
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coeur D Alene Primary Care PLLC 9 clinicians

Practice addresses (Care Compare)

1221 W Ironwood Dr
Suite 100
Coeur D Alene, ID 83814-1402
Phone (208) 667-8889

920 W Ironwood Dr
Suite 200
Coeur D Alene, ID 83814-2643
Phone (208) 667-2600

Hospital & facility affiliations

  • Eden Home Health Home health agency, Ponderay, ID, CCN 137122
  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
  • Northwest Specialty Hospital Hospital, Post Falls, ID, CCN 130066

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20220117000357 ID Practitioner - Nurse Practitioner 6103218532 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anchored Family Practice, PLLC Current Accepting new patients
Coeur D Alene Primary Care PLLC CurrentSince Jan 3, 2024 Accepting new patients
North Idaho Day Surgery LLC PastSince Apr 1, 2023 Accepting new patients

Locations

920 W Ironwood Dr
Ste 200
Coeur D Alene, ID 83814
Phone (208) 667-2600

1221 W Ironwood Dr
Ste 100
Coeur D Alene, ID 83814
Phone (208) 620-5210

Interoperability endpoints

  • Direct secure messaging: pwoods@nwsh.gwaydirect.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 54168 ID Primary

Addresses

NPPES NPI Registry

Primary practice location

1221 W Ironwood Dr Ste 100
Coeur D Alene, ID 83814-1402

Mailing address

1221 W Ironwood Dr Ste 100
Coeur D Alene, ID 83814-1402
Phone (208) 667-8889

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1558032300MedicaidID
1508717380MedicaidID

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 31, 2026.

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1558032300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W IRONWOOD DR STE 100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838141402",
            "telephone_number": "208-667-8889",
            "fax_number": "800-521-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W IRONWOOD DR STE 100",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838141402",
            "telephone_number": "208-667-8889",
            "fax_number": "800-521-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "54168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558032300",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508717380",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.