Individual provider Active NPI

Andrea Lynn Garey, NP-C

  • Family Nurse Practitioner
  • Post Falls, ID
National Provider Identifier
1952063802
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
70031 Issued in ID
Practice address
3904 E Mullan Ave Ste C
Post Falls, ID 83854-4009
Phone
(208) 786-0569
Fax
(208) 252-9553
NPI assigned
Oct 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 70031 ID Primary

Addresses

Primary practice location

3904 E Mullan Ave Ste C
Post Falls, ID 83854-4009

Mailing address

1869 E Seltice Way # 365
Post Falls, ID 83854-7019
Phone (208) 786-0569

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
I20211025001841 ID Practitioner - Nurse Practitioner 1052709060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3904 E Mullan Ave
Suite C
Post Falls, ID 83854-4009
Phone (208) 786-0569

Hospital & facility affiliations

  • North Idaho Home Health Home health agency, Coeur D Alene, ID, CCN 137019
  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70031IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor of Nursing Practice Primary Care LLC CurrentSince Jun 30, 2024 Accepting new patients

Locations

3904 E Mullan Ave
Ste C
Post Falls, ID 83854
Phone (208) 786-0569

1869 E Seltice Way
Post Falls, ID 83854
Phone (208) 517-7132

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 2

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": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1952063802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 E SELTICE WAY # 365",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547019",
            "telephone_number": "208-786-0569",
            "fax_number": "208-252-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 E MULLAN AVE STE C",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544009",
            "telephone_number": "208-786-0569",
            "fax_number": "208-252-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAREY",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "70031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

Verify at the official NPI Registry.