Active NPI
David Bryan Gierut, APRN
- Gerontology Nurse Practitioner
- Coeur D Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 2161178
- Practice address
- 2120 W Ironwood Center Dr
Coeur D Alene, ID 83814-2639 - Phone
- (208) 625-6944
- Fax
- (208) 625-6945
- NPI assigned
- Dec 15, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2161178 | ID | |
| Gerontology Nurse Practitioner | 363LG0600X | APRN9415036 | FL | |
| Gerontology Nurse Practitioner | 363LG0600X | 2161178 | ID | Primary |
Addresses
Primary practice location
2120 W Ironwood Center Dr
Coeur D Alene, ID 83814-2639
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016391000 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dgierut796481@direct.multicare.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160223001765 | FL | Practitioner - Nurse Practitioner | 3779888185 | Reassigns benefits to 1 organization |
| I20240923000458 | ID | Practitioner - Nurse Practitioner | 3779888185 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9415036 | FL | MD | Gerontology Nurse Practitioner |
| 2161178 | ID | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Lee Memorial Health System | Current | Accepting new patients | |
| Lee Memorial Health System | Nurse Practitioner | Current | Accepting new patients |
| Kootenai Health, Inc. | Current | Accepting new patients | |
| Infectious Diseases Consultants of Cincinnati Inc. | Past | Accepting new patients | |
| Kootenai Health, Inc. | Nurse Practitioner | Past | Accepting new patients |
Locations
224 Santa Barbara Blvd
Ste 205
Cape Coral, FL 33991
Phone (239) 424-1400
9981 S Healthpark Dr
Ste 454
Fort Myers, FL 33908
Phone (239) 343-9710
1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
13340 Metro Pkwy
Ste 310
Fort Myers, FL 33966
Phone (239) 343-1448
2780 Cleveland Ave
Ste 809
Fort Myers, FL 33901
Phone (239) 343-9680
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
700 W Ironwood Dr
Ste 350
Coeur D Alene, ID 83814
Phone (208) 625-5222
2120 W Ironwood Center Dr
Coeur D Alene, ID 83814
Phone (208) 625-6944
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
FL, Nurse Practitioner
-
- General Acute Care Hospital
- Coeur D Alene, ID
- NPI 1992798409
-
- Community/Retail Pharmacy
- Hayden, ID
- NPI 1235986290
-
- Hematology & Oncology Physician
- Coeur D Alene, ID
- NPI 1699807743
-
- Federally Qualified Health Center (FQHC)
- Port Charlotte, FL
- NPI 1255171765
-
- Emergency Medicine Physician
- Coeur D Alene, ID
- NPI 1235288655
Nurse Practitioner
-
- Specialist
- Cincinnati, OH
- NPI 1013066281
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Kootenai Health Inc
Practice addresses (Care Compare)
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4000
Hospital & facility affiliations
- Kootenai Health
- Shoshone Medical Center
- Gritman Medical Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1790140937",
"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": "208-625-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 W IRONWOOD CENTER DR",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838142639",
"telephone_number": "208-625-6944",
"fax_number": "208-625-6945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIERUT",
"first_name": "DAVID",
"middle_name": "BRYAN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-15",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "2161178",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "APRN9415036",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "ID",
"license": "2161178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016391000",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dgierut796481@direct.multicare.org",
"affiliation": "N",
"address_1": "2120 W Ironwood Center Dr",
"city": "Coeur D Alene",
"state": "ID",
"country_code": "US",
"postal_code": "838142639",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Coeur D Alene, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.