Individual provider Active NPI

Madeline Grace Stewart, NP

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Coeur d'Alene, ID
National Provider Identifier
1710869680
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X
License
2771366 Issued in ID
Practice address
909 W Canfield Ave
Coeur D Alene, ID 83815-9764
Phone
(208) 292-4006
Fax
(866) 229-7081
NPI assigned
Jul 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X 2771366 ID
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X 2771366 ID Primary

Addresses

Primary practice location

909 W Canfield Ave
Coeur D Alene, ID 83815-9764

Mailing address

909 W Canfield Ave
Coeur D Alene, ID 83815-9764
Phone (208) 292-4006

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
I20251013003893 ID Practitioner - Nurse Practitioner 3375030455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hemisphere Health PLLCGroup PAC ID 8426428418, 6 clinicians

Practice addresses (Care Compare)

909 W Canfield Ave
Coeur D Alene, ID 83815-9764
Phone (208) 292-4006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2771366IDMDNeuromuscular Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hemisphere Health PLLC Brain Injury Medicine CurrentSince Aug 1, 2025 Accepting new patients

Locations

909 W Canfield Ave
Coeur D Alene, ID 83815
Phone (208) 209-0288

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1710869680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 W CANFIELD AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159764",
            "telephone_number": "208-292-4006",
            "fax_number": "866-229-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W CANFIELD AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159764",
            "telephone_number": "208-292-4006",
            "fax_number": "866-229-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MADELINE",
        "middle_name": "GRACE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "ID",
            "license": "2771366",
            "primary": false
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "ID",
            "license": "2771366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.