Individual provider Active NPI

Nichole J Walters Piekarski, MSN

  • Primary Care Nurse Practitioner
  • Coeur D Alene, ID
National Provider Identifier
1750105367
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
34817 Issued in ID
Practice address
3815 N Schreiber Way Unit 102
Coeur D Alene, ID 83815-8434
Phone
(208) 667-4557
Fax
(208) 765-2887
NPI assigned
Nov 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 34817 ID Primary

Addresses

Primary practice location

3815 N Schreiber Way Unit 102
Coeur D Alene, ID 83815-8434

Mailing address

3815 N Schreiber Way Unit 102
Coeur D Alene, ID 83815-8434
Phone (208) 667-4557

Other names 1

  • Nichole J Piekarski Other 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
I20241202002651 ID Practitioner - Nurse Practitioner 9638604523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ironwood Family Practice, PAGroup PAC ID 3971698424, 13 clinicians

Practice addresses (Care Compare)

3815 N Schreiber Way
Unit 102
Coeur D Alene, ID 83815-8434
Phone (208) 667-4557

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Family Practice, PA CurrentSince Jan 1, 2025 Accepting new patients

Locations

3815 N Schreiber Way
Unit 102
Coeur D Alene, ID 83815
Phone (208) 667-4557

920 W Ironwood Dr
Ste 101
Coeur D Alene, ID 83814
Phone (208) 667-4557

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.

Hospital & facility affiliations 1

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": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1750105367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 N SCHREIBER WAY UNIT 102",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158434",
            "telephone_number": "208-667-4557",
            "fax_number": "208-765-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 N SCHREIBER WAY UNIT 102",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158434",
            "telephone_number": "208-667-4557",
            "fax_number": "208-765-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS PIEKARSKI",
        "first_name": "NICHOLE",
        "middle_name": "J",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ID",
            "license": "34817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICHOLE",
            "last_name": "PIEKARSKI",
            "middle_name": "J",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.