| Active Family Healthcare Pllc | |
|
919 W Canfield Ave Coeur D Alene ID 83815-9764 | |
| (208) 758-0560 | |
| (208) 762-5424 |
| Full Name | Active Family Healthcare Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 919 W Canfield Ave, Coeur D Alene, Idaho |
| Authorized Official Name and Position | Jennifer Fletcher (OWNER NURSE PRACTIONER) |
| Authorized Official Contact | 2087580560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Family Healthcare Pllc 919 W Canfield Ave Coeur D Alene ID 83815-9764 Ph: (208) 758-0560 | Active Family Healthcare Pllc 919 W Canfield Ave Coeur D Alene ID 83815-9764 Ph: (208) 758-0560 |
| NPI Number | 1063764462 |
|---|---|
| Provider Enumeration Date | 10/09/2012 |
| Last Update Date | 03/03/2025 |
| Medicare PECOS PAC ID | 7315162237 |
|---|---|
| Medicare Enrollment ID | O20140709003055 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063764462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer A Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750344834 PECOS PAC ID: 2163481235 Enrollment ID: I20041005000550 |
| Provider Name | Jennifer S Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063454981 PECOS PAC ID: 9931154796 Enrollment ID: I20050315000698 |
| Provider Name | Emily Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063727881 PECOS PAC ID: 0648452326 Enrollment ID: I20110317000138 |
| Provider Name | Jana R Pedersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699319483 PECOS PAC ID: 5799114666 Enrollment ID: I20200330000855 |
| Provider Name | Robin Marie Beard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033751078 PECOS PAC ID: 3870922560 Enrollment ID: I20200331003856 |
| Provider Name | Megan Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487003208 PECOS PAC ID: 9638463276 Enrollment ID: I20210506001588 |
| Provider Name | Nicole L Rock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962199075 PECOS PAC ID: 7719345206 Enrollment ID: I20230614003990 |
| Provider Name | Darcy Dee Ruffo |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1366137705 PECOS PAC ID: 0840635488 Enrollment ID: I20240305001857 |
| Provider Name | Kendyl Kissell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073283461 PECOS PAC ID: 2860839008 Enrollment ID: I20240322002432 |
| Provider Name | Danyel Kush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649737628 PECOS PAC ID: 4385985415 Enrollment ID: I20240425000844 |
Ironwood Family Practice, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3815 N Schreiber Way Unit 102, Coeur D Alene, ID 83815 Phone: 208-667-4557 Fax: 208-765-2887 | |
Pmr Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 E Sherman Ave Ste 204, Coeur D Alene, ID 83814 Phone: 208-664-6464 | |
Helping Hands Chiropractic And Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 116 W Neider Ave Unit 116, Coeur D Alene, ID 83815 Phone: 208-664-0444 Fax: 208-664-0446 | |
Perpetual Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 Lincoln Way Ste 108, Coeur D Alene, ID 83814 Phone: 208-480-6174 Fax: 208-601-6174 | |
Head Sport Em Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 980 W Ironwood Dr Ste 206, Coeur D Alene, ID 83814 Phone: 208-512-4334 | |
North Idaho Family Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 W Ironwood Dr, Suite 170e, Coeur D Alene, ID 83814 Phone: 208-676-1852 |