Individual provider Active NPI

Eric Daniel Ward, FNP-C

  • Family Nurse Practitioner
  • Priest River, ID
National Provider Identifier
1649927245
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
73023 Issued in ID
Practice address
6509 Highway 2 Ste 101
Priest River, ID 83856-6633
Phone
(280) 448-2321
Fax
(208) 448-1317
NPI assigned
Mar 4, 2022
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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 73023 ID Primary

Addresses

Primary practice location

6509 Highway 2 Ste 101
Priest River, ID 83856-6633

Mailing address

136 Breezy Way
Priest River, ID 83856
Phone (512) 796-5371

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
I20220817001611 ID Practitioner - Nurse Practitioner 8527441971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6509 Hwy 2
Suite 101
Priest River, ID 83856-6633
Phone (208) 448-2321

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73023IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boundary Regional Community Health Center, Inc. Current Accepting new patients
Boundary Regional Community Health Center Inc CurrentSince Jul 15, 2024 Accepting new patients
Boundary Regional Community Health Center, Inc. CurrentSince Jul 15, 2024 Accepting new patients
Boundary Regional Community Health Center Inc Past Accepting new patients
Boundary Regional Community Health Center, Inc. Past Accepting new patients

Locations

6615 Comanche St
Bonners Ferry, ID 83805
Phone (208) 267-1718

6509 Highway 2
Ste 101
Priest River, ID 83856
Phone (208) 448-2321

810 N Sixth Ave
Sandpoint, ID 83864
Phone (208) 263-7101

Interoperability endpoints

  • Direct secure messaging: eric.ward.1@32745.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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 3

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": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1649927245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BREEZY WAY",
            "city": "PRIEST RIVER",
            "state": "ID",
            "postal_code": "83856",
            "telephone_number": "512-796-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 HIGHWAY 2 STE 101",
            "city": "PRIEST RIVER",
            "state": "ID",
            "postal_code": "838566633",
            "telephone_number": "280-448-2321",
            "fax_number": "208-448-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "ERIC",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-04",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "73023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Priest River, ID

Sources for this page

Verify at the official NPI Registry.