Individual provider Active NPI

Whitney Nicole Hall, APRN-CNP

  • Family Nurse Practitioner
  • Post Falls, ID
National Provider Identifier
1679012728
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
54855 Issued in ID
Practice address
1551 E Mullan Ave Ste 200B
Post Falls, ID 83854-9005
Phone
(208) 262-2213
Fax
(208) 262-2214
NPI assigned
Feb 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 54855 ID Primary
Nurse Practitioner 363L00000X 54855 ID

Addresses

Primary practice location

1551 E Mullan Ave Ste 200B
Post Falls, ID 83854-9005

Mailing address

1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300

Other practice location 1

1300 E Mullan Ave Ste 1300
Post Falls, ID 83854-6057
Phone (208) 625-5630

Other identifiers 1

IdentifierTypeStateIssuer
1679012728MedicaidID

Other names 1

  • Whitney Nicole Mann Former name

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
I20170821002656 ID Practitioner - Nurse Practitioner 9133491483 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians

Practice addresses (Care Compare)

1300 E Mullan Ave
Suite 1300
Post Falls, ID 83854-6057
Phone (208) 625-5630

Hospital & facility affiliations

  • North Idaho Home Health Home health agency, Coeur D Alene, ID, CCN 137019
  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54855IDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Health, Inc. CurrentSince May 1, 2025 Accepting new patients
North Idaho Day Surgery LLC CurrentSince Feb 1, 2020 Accepting new patients
Kootenai Health, Inc. CurrentSince May 1, 2025 Accepting new patients
Own Family Medicine and Wellness LLC Dba Active Family Healthcare Past Accepting new patients
First Steps Chiropractic PLLC PastSince Aug 1, 2017 Accepting new patients
Kootenai Health, Inc. Nurse Practitioner Past Accepting new patients

Locations

1701 Lincoln Way
Coeur D Alene, ID 83814
Phone (208) 625-4950

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

1300 E Mullan Ave
Ste 1300
Post Falls, ID 83854
Phone (208) 625-5630

1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300

750 N Syringa St
Ste 100
Post Falls, ID 83854
Phone (208) 262-2600

1551 E Mullan Ave
Ste 200B
Post Falls, ID 83854
Phone (208) 262-2213

1300 E Mullan Ave
Ste 1600
Post Falls, ID 83854
Phone (208) 625-4965

Interoperability endpoints

  • Direct secure messaging: whall839901@direct.multicare.org
  • Direct secure messaging: whall@nwsh.gwaydirect.com

Organizations & group practices 6

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 2

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": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1679012728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1593 E POLSTON AVE",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838545326",
            "telephone_number": "208-262-2300",
            "fax_number": "208-262-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 E MULLAN AVE STE 200B",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838549005",
            "telephone_number": "208-262-2213",
            "fax_number": "208-262-2214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 E Mullan Ave Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Post Falls",
            "state": "ID",
            "postal_code": "838546057",
            "country_code": "US",
            "telephone_number": "208-625-5630",
            "fax_number": "208-625-5631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "WHITNEY",
        "middle_name": "NICOLE",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "54855",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "54855",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679012728",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WHITNEY",
            "last_name": "MANN",
            "middle_name": "NICOLE",
            "credential": "APRN-CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.