Mariah Petersen, APP
NPI 1336938752 · Primary Care Nurse Practitioner · Coeur D Alene, ID
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mariah Petersen, APP is a Primary Care Nurse Practitioner provider in Coeur D Alene, ID (NPI 1336938752).
Provider details
- NPI number
- 1336938752
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APP
- Sex
- Female
- Sole proprietor
- No
- License
- 8771254 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 2003 Kootenai Health WayCoeur D Alene, ID 83814-6051Phone: (208) 625-4595
Registry dates
- Enumerated
- 2025-05-02
- Last updated
- 2025-05-02
- Certified
- 2025-05-02
Frequently asked questions
- What is Mariah Petersen's NPI number?
- Mariah Petersen's National Provider Identifier (NPI) is 1336938752, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mariah Petersen's specialty?
- Mariah Petersen is listed in the NPPES registry with a primary specialty of Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mariah Petersen located?
- Mariah Petersen's practice location on file with NPPES is 1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814-2527.
- What is Mariah Petersen's phone number?
- The practice phone number listed in the NPPES registry for Mariah Petersen is (208) 625-4595.
- Does Mariah Petersen accept Medicare?
- Mariah Petersen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mariah Petersen's NPI active?
- Yes — Mariah Petersen's NPI (1336938752) is active in the NPPES registry as of the last update on 2025-05-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.