Individual provider Active NPI

Tessa Marie Reinke, MD

  • Family Medicine Physician
  • Sandpoint, ID
National Provider Identifier
1952712093
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-14107 Issued in ID
Practice address
414 Church St Ste 120
Sandpoint, ID 83864-7065
Phone
(208) 265-2221
NPI assigned
May 12, 2014
Last updated
Mar 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60729630 WA
Family Medicine Physician 207Q00000X M-14107 ID Primary

Addresses

Primary practice location

414 Church St Ste 120
Sandpoint, ID 83864-7065

Mailing address

414 Church St Ste 120
Sandpoint, ID 83864-7065
Phone (208) 277-9717

Other names 1

  • Tessa M Winter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 28, 2025 through May 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60729630WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Polaris Medical PLLC Family Medicine CurrentSince Aug 17, 2025 Accepting new patients

Locations

414 Church St
Ste 120
Sandpoint, ID 83864
Phone (208) 265-2221

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1952712093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 CHURCH ST STE 120",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838647065",
            "telephone_number": "208-277-9717",
            "fax_number": "208-435-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 CHURCH ST STE 120",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838647065",
            "telephone_number": "208-265-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINKE",
        "first_name": "TESSA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60729630",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-14107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESSA",
            "last_name": "WINTER",
            "middle_name": "M",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sandpoint, ID

Sources for this page

Verify at the official NPI Registry.