Kaniksu Community Health - Medicare Primary Care in Priest River, ID

  1. Home
  2. Primary Care Clinics
  3. ID
  4. Priest River
Kaniksu Community Health is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Priest River, Idaho. The current practice location for Kaniksu Community Health is 6509 Highway 2, Suite 101, Priest River, Idaho. For appointments, you can reach them via phone at (208) 448-2321. The mailing address for Kaniksu Community Health is Po Box 2160, Sandpoint, Idaho and phone number is (208) 263-3410.

Kaniksu Community Health is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1538447727. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (208) 448-2321.

Contact Information

Kaniksu Community Health
6509 Highway 2
Suite 101
Priest River
ID 83856-6609
(208) 448-2321
(208) 448-1317

Map and Direction


Primary Care Clinic Profile

Full NameKaniksu Community Health
SpecialityClinic/Center
Location6509 Highway 2, Priest River, Idaho
Authorized Official Name and PositionKevin Knepper (CEO)
Authorized Official Contact2082633410
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kaniksu Community Health
Po Box 2160
Sandpoint
ID 83864-0908

Ph: (208) 263-3410		Kaniksu Community Health
6509 Highway 2
Suite 101
Priest River
ID 83856-6609

Ph: (208) 448-2321

NPI Details:

NPI Number1538447727
Provider Enumeration Date07/22/2011
Last Update Date12/03/2021

Medicare PECOS Information:

Medicare PECOS PAC ID2264341221
Medicare Enrollment IDO20050211000195

Medical Identifiers

Medical identifiers for Kaniksu Community Health such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538447727NPI-NPPES
DB1056OtherIDRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Kaniksu Community Health acts as a billing entity for following providers:
Provider NameJennifer F Garwick
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245221126
PECOS PAC ID: 6103887443
Enrollment ID: I20041020001107
Provider NameLigeia A Reinhardt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871584755
PECOS PAC ID: 3678525268
Enrollment ID: I20050211000135
Provider NameAnn Cox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033270236
PECOS PAC ID: 8729180047
Enrollment ID: I20070216000313
Provider NameGeorge V Deland
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1518959337
PECOS PAC ID: 5890897250
Enrollment ID: I20070305000035
Provider NameGina M Beck
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1154612216
PECOS PAC ID: 0749458115
Enrollment ID: I20110730000003
Provider NameHailey Rose
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679702088
PECOS PAC ID: 0749431666
Enrollment ID: I20121127000065
Provider NameYuni Unis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437251261
PECOS PAC ID: 0840297677
Enrollment ID: I20131010000546
Provider NameLaura J Lata
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649224783
PECOS PAC ID: 0446213763
Enrollment ID: I20141006002526
Provider NameJohn Seaman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1700968724
PECOS PAC ID: 0749201903
Enrollment ID: I20141201002303
Provider NameNelson Antoniuk
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1588609176
PECOS PAC ID: 5193769016
Enrollment ID: I20160229000907
Provider NameErin Bass
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063872604
PECOS PAC ID: 1658660691
Enrollment ID: I20160516000848
Provider NameJoseph A Wassif
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1144695818
PECOS PAC ID: 8325300015
Enrollment ID: I20180316000343
Provider NameElisabeth Marie Mackey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033665278
PECOS PAC ID: 6406134469
Enrollment ID: I20180614001452
Provider NameMagno C Santos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881935104
PECOS PAC ID: 0143454173
Enrollment ID: I20190604001208
Provider NameBenjamin S Stockton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124476072
PECOS PAC ID: 7214220045
Enrollment ID: I20200120000258
Provider NameAnne Marie Mccarthy
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1194864181
PECOS PAC ID: 3779742457
Enrollment ID: I20200227001197
Provider NameShannon Marie Seckel
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1316468002
PECOS PAC ID: 3476823626
Enrollment ID: I20200701001927
Provider NameSara Marie Hull
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619592912
PECOS PAC ID: 2961825674
Enrollment ID: I20200713003240
Provider NameFelicia R Lucas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093128076
PECOS PAC ID: 1052667912
Enrollment ID: I20200717002581
Provider NameDean M Jennings
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1831524537
PECOS PAC ID: 5092112045
Enrollment ID: I20210920000074
Provider NameNicole E Russell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982017968
PECOS PAC ID: 1759601230
Enrollment ID: I20220307002347
Provider NameAutumn Diller
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1134695091
PECOS PAC ID: 3476940313
Enrollment ID: I20220425001277
Provider NameRenata Moon
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1154376101
PECOS PAC ID: 6002866084
Enrollment ID: I20220528000100
Provider NameShannon Tappana
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1528318177
PECOS PAC ID: 7719353754
Enrollment ID: I20221017002779
Provider NameNadine Lewis
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912480153
PECOS PAC ID: 9032589221
Enrollment ID: I20230104001840
Provider NameHeather N Huff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124735816
PECOS PAC ID: 5799158762
Enrollment ID: I20230222003004
Provider NameTammy L Undiemi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073178133
PECOS PAC ID: 7315359288
Enrollment ID: I20230308001980
Provider NameLisa A Carothers
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1104451970
PECOS PAC ID: 5698140358
Enrollment ID: I20230411001177
Provider NameMary D Kuykendall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609556596
PECOS PAC ID: 2860855269
Enrollment ID: I20230901001259
Provider NameStacy N Luce
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1114286358
PECOS PAC ID: 4385095959
Enrollment ID: I20240108004972
Provider NameKimberly A Rutland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073174199
PECOS PAC ID: 7911311642
Enrollment ID: I20240207003673
Provider NameTara L Vizcarra
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1316471717
PECOS PAC ID: 9032487194
Enrollment ID: I20240307000823
Provider NameAndrew B Vizcarra
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1629502265
PECOS PAC ID: 7810265071
Enrollment ID: I20240405001398
Provider NameJoshua A Barnes
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700424041
PECOS PAC ID: 3779922877
Enrollment ID: I20240423001476

Reviews and Comments


Clinic/Center in Priest River, ID


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.