NPPES file of Aug 9, 2026

Mariah Petersen, APP

Primary Care Nurse Practitioner · Coeur D Alene, ID

Mariah Petersen, APP is a primary care nurse practitioner with a practice address in Coeur D Alene, Idaho, and NPI 1336938752, issued on May 2, 2025. Check the license (Idaho 8771254, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1336938752
Name
Mariah Petersen
Credential
APP
Primary taxonomy
Primary Care Nurse Practitioner 363LP2300X
License number
8771254 ID
Self-reported in NPPES; status is on the state search
Practice location
1919 Lincoln Way Ste 415, Coeur D Alene, ID 83814
Phone
(208) 625-4595
Enumerated
May 2, 2025
Record last updated
May 2, 2025
Medicare enrollment
Enrolled (PECOS I20250612001225); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest primary care nurse practitioner records → All 69 in Idaho → Look up another NPI →

Also registered at 1919 Lincoln Way Ste 415

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Trace Heavener, D.O.Gastroenterology Physician1841646726
  2. David Johnson, MDGastroenterology Physician1124312376
  3. Caleb Kelly, MDGastroenterology Physician1144678921
  4. Matthew Lute, D.O.Gastroenterology Physician1245665660
  5. James McMahon, PA-CPhysician Assistant1992899066
  6. Holly Pena, ARNPNurse Practitioner1548253867

Verify Mariah Petersen in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Idaho board licenses this profession
    Search for license 8771254    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Idaho license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Kootenai Health IncCoeur D Alene, ID

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Mariah Petersen among 69 primary care nurse practitioner records in Idaho

Mariah Petersen, APP is one of 69 primary care nurse practitioner records with a practice address in Idaho. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 88% of them.

  • NPI issued2025 · 88% of these records are older, 7% newer
  • In a Medicare fileYes · 78% of these records are
  • In the CMS Doctors and Clinicians fileYes · 55% of these records are
  • Graduated2025 · median 2017 among the 38 with a school on file
  • Record last updated2025 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP2300X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Primary Care Nurse Practitioner providers in Idaho

There are 69 primary care nurse practitioner records in Idaho.

All 69 in Idaho → Every provider in Coeur D Alene → Primary Care Nurse Practitioner nationwide →

The 8 primary care nurse practitioner records with the nearest ZIP codes

  1. Shelly Crane, AGNP-CCoeur D Alene, ID 838141104465558
  2. Whitney JerredCoeur D Alene, ID 838141093648164
  3. Cassy Lester, FNP-CCoeur D Alene, ID 838151922729656
  4. Cindy Radavich, APRNDalton Gardens, ID 838151295465011
  5. Nichole Walters Piekarski, MSNCoeur D Alene, ID 838151750105367
  6. Marie SingletonHayden, ID 838351154257798
  7. Teirza Bristow, ARNPKellogg, ID 838371700363348
  8. Ann Moffett, NP-CSmelterville, ID 838581578061883

Common questions

What is Mariah Petersen, APP's NPI number?

Mariah Petersen, APP's National Provider Identifier (NPI) is 1336938752, issued on May 2, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Mariah Petersen, APP located?

The NPPES record lists a practice address at 1919 Lincoln Way Ste 415, Coeur D Alene, ID, 83814. Phone: (208) 625-4595. Providers update this record themselves, so call before visiting.

How can I verify Mariah Petersen, APP's license?

NPPES lists Idaho license number 8771254, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.