Amanda Lee Rosemary Wood, DNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4661671 Issued in ID

Practice address

3815 N Schreiber Way Unit 101
Coeur D Alene, ID 83815-8434

Phone

(208) 755-2804

Fax

(208) 765-0277

NPI assigned

Jul 25, 2019

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

• Amanda Rangel Former name

Medicare fee-for-service enrollment

Enrolled in WA, ID2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Beacon Cancer Care PLLC

  • Multi-Specialty Clinic/Center
  • Coeur D Alene, ID
  • NPI 1407335367

  ID, Medical Oncology

  Medicare reassignment Care Compare group NPD
• Cancer Care Northwest Centers P S

  • Hematology & Oncology Physician
  • Spokane Valley, WA
  • NPI 1922072081

  Medical Oncology, WA

  Medicare reassignment NPD
• Multicare Health System

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638

  WA

  Medicare reassignment NPD
• Beacon Cancer Care PLLC

  • Specialty Pharmacy
  • Coeur D Alene, ID
  • NPI 1437973674
  NPD
• Cancer Care Northwest Centers P S

  • Non-Pharmacy Dispensing Site
  • Spokane, WA
  • NPI 1144900705
  NPD
• Multicare Health System

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Multicare Health System

  • Diagnostic Radiology Physician
  • Spokane, WA
  • NPI 1679042188
  NPD

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

• Benewah Community Hospital

  • Critical Access Hospital
  • St Maries, ID
  • NPI 1548320435

  Hospital

  Care Compare affiliation
• Bonner General Hospital Inc.

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963

  Hospital

  Care Compare affiliation
• Kootenai Health, Inc.

  • General Acute Care Hospital
  • Coeur D Alene, ID
  • NPI 1992798409

  Hospital

  Care Compare affiliation
• North Idaho Day Surgery LLC

  • Multi-Specialty Clinic/Center
  • St Maries, ID
  • NPI 1093674301

  Hospital

  Care Compare affiliation
• North Idaho Day Surgery LLC

  • General Acute Care Hospital
  • Post Falls, ID
  • NPI 1104824739

  Hospital

  Care Compare affiliation
• North Idaho Day Surgery LLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Post Falls, ID
  • NPI 1649123589

  Hospital

  Care Compare affiliation
• Shoshone Medical Center

  • Critical Access Hospital
  • Kellogg, ID
  • NPI 1043215437

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beacon Cancer Care PLLC 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049
• Northwest Specialty Hospital Hospital, Post Falls, ID, CCN 130066
• Benewah Community Hospital Hospital, Saint Maries, ID, CCN 131317
• Shoshone Medical Center Hospital, Kellogg, ID, CCN 131314
• Bonner General Hospital Hospital, Sandpoint, ID, CCN 131328

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1801440102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 N SCHREIBER WAY UNIT 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158434",
            "telephone_number": "208-755-2804",
            "fax_number": "208-765-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 N SCHREIBER WAY UNIT 101",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158434",
            "telephone_number": "208-755-2804",
            "fax_number": "208-765-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "AMANDA",
        "middle_name": "LEE ROSEMARY",
        "name_prefix": "Ms.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-25",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60987586",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "4661671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "RANGEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Conrad Wittram, MBCHB
• David Anton Wold, M.D.
• Matthew Robert Womeldorff, M.D.
• Womens Clinic of North Idaho
• Alyssa May Wood
• Christopher Michael Wood, D.O.
• Kelsey Wood, LPC
• McKaylin Maie Shirey Wood
• Angela Woods, LMSW
• Darren Robert Woods, LCPC

• All providers in Coeur D Alene, ID
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; 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.