Active Family Healthcare PLLC
NPI 1063764462 · Family Medicine Physician · Coeur D Alene, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Active Family Healthcare PLLC is a Family Medicine Physician organization in Coeur D Alene, ID (NPI 1063764462).
Provider details
- NPI number
- 1063764462
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Fletcher, Owner Nurse Practioner(208) 758-0560
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-10-09
- Last updated
- 2025-03-03
- Certified
- 2025-03-03
Frequently asked questions
- What is Active Family Healthcare PLLC's NPI number?
- Active Family Healthcare PLLC's National Provider Identifier (NPI) is 1063764462, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Active Family Healthcare PLLC?
- Active Family Healthcare PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Active Family Healthcare PLLC located?
- Active Family Healthcare PLLC's practice location on file with NPPES is 919 W Canfield Ave, Coeur D Alene, ID 83815-9764.
- What is Active Family Healthcare PLLC's phone number?
- The practice phone number listed in the NPPES registry for Active Family Healthcare PLLC is (208) 758-0560.
- Does Active Family Healthcare PLLC accept Medicare?
- Active Family Healthcare PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Active Family Healthcare PLLC?
- The authorized official listed on Active Family Healthcare PLLC's NPPES record is Jennifer Fletcher, Owner Nurse Practioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Active Family Healthcare PLLC's NPI active?
- Yes — Active Family Healthcare PLLC's NPI (1063764462) is active in the NPPES registry as of the last update on 2025-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.