Emily Lara Petersen, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

M-11299 Issued in ID

Practice address

700 W Ironwood Dr Ste 375
Coeur D Alene, ID 83814-4401

Phone

(208) 625-6100

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Emily Lara Corkill Former name

Electronic endpoints 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nephrology

Education

University of Utah School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kootenai Health IncGroup PAC ID 1355792276, 394 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC Palouse Dialysis facility, Moscow, ID, CCN 132520
• Renal Care Group Post Falls Dialysis facility, Post Falls, ID, CCN 132508
• DaVita Moscow Dialysis Dialysis facility, Moscow, ID, CCN 132521
• Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
• Gritman Medical Center Hospital, Moscow, ID, CCN 131327
• Pullman Regional Hospital Hospital, Pullman, WA, CCN 501331
• Benewah Community Hospital Hospital, Saint Maries, ID, CCN 131317
• Whitman Hospital and Medical Center Hospital, Colfax, WA, CCN 501327

Merit-based Incentive Payment System (MIPS)

Final score

86.65 of 100Reported as apm

Quality

89.26

Promoting interoperability

69.9

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kootenai Health, Inc.

  • Psychiatry Physician
  • Coeur D Alene, ID
  • NPI 1174661151
  Medicare reassignment Care Compare group
• Kootenai Health, Inc.

  • Emergency Medicine Physician
  • Coeur D Alene, ID
  • NPI 1235288655
  Medicare reassignment NPD
• Kootenai Health, Inc.

  • Community/Retail Pharmacy
  • Hayden, ID
  • NPI 1235986290
  NPD
• Kootenai Health, Inc.

  • Psychiatric Hospital Unit
  • Coeur D Alene, ID
  • NPI 1568567360
  NPD
• Kootenai Health, Inc.

  • Rehabilitation Hospital Unit
  • Coeur D Alene, ID
  • NPI 1659476455
  NPD
• Incyte Pathology, PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Spokane Valley, WA
  • NPI 1326086745
  NPD
• Spokane Valley Family Medicine P.S.

  • Family Medicine Physician
  • Spokane Valley, WA
  • NPI 1902859598
  NPD (past)

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

• Inland Northwest Renal Care Group, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Post Falls, ID
  • NPI 1821100637

  Dialysis facility

  Care Compare affiliation Name & address match
• Inland NW Renal Care Group - Gritman Medical Center, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Moscow, ID
  • NPI 1538306428

  Dialysis facility

  Care Compare affiliation Name & address match
• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Moscow, ID
  • NPI 1225265606

  Dialysis facility

  Care Compare affiliation Name & address match
• Benewah Community Hospital

  • Critical Access Hospital
  • St Maries, ID
  • NPI 1548320435
  Care Compare affiliation
• Gritman Medical Center Inc

  • Critical Access Hospital
  • Moscow, ID
  • NPI 1619988144
  Care Compare affiliation
• Gritman Medical Center Inc.

  • Clinic/Center
  • Moscow, ID
  • NPI 1790182590

  Hospital

  Care Compare affiliation
• Kootenai Health, Inc.

  • General Acute Care Hospital
  • Coeur D Alene, ID
  • NPI 1992798409
  Care Compare affiliation
• Public Hospital District #1-a of Whitman County

  • Critical Access Hospital
  • Pullman, WA
  • NPI 1366446767
  Care Compare affiliation
• Public Hospital District No 3 of Whitman County

  • Critical Access Hospital
  • Colfax, WA
  • NPI 1922009448
  Care Compare affiliation

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1750414447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 KOOTENAI HEALTH WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146051",
            "telephone_number": "208-625-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W IRONWOOD DR STE 375",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838144401",
            "telephone_number": "208-625-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "EMILY",
        "middle_name": "LARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "6027146-1205",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "ID",
            "license": "M-11299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.petersenmd.p79@direct.kootenai.nextgenshare.com",
            "affiliation": "N",
            "address_1": "700 W Ironwood Dr Ste 375",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838144401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "epetersen610744@direct.multicare.org",
            "affiliation": "N",
            "address_1": "700 W Ironwood Dr Ste 375",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838144401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "CORKILL",
            "middle_name": "LARA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Robert Perschau, MD
• Cynthia Bragg Pesco, PT
• Kurt Alexander Petellin, DDS
• Peter C Jones MD PA
• Kevin Patrick Peters, PA-C
• Henry Petersen, PA-C
• Lori Petersen
• Mariah Petersen, APP
• Chad Allan Peterson, M.D.
• Heather Peterson

• Nephrology Physician in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Nephrology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.