Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Connor Rezzonico, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063184968

Connor Rezzonico, PMHNP is a Nurse Practitioner in Coeur D Alene, Idaho. Qualified in 2022, 4 years ago. Practices with Dirne Health Centers Inc, a 83-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Washington.

Years since qualifying
4
Licensed in
ID, WA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1110 W Park Pl Ste 222
Coeur D Alene, ID 83814-2784
Phone: (208) 625-7695
Fax: (949) 864-3567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051 — (208) 625-4870

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 74368 (ID)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP70005328 (WA)

Record details

NPI number1063184968
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedSeptember 29, 2021
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Dirne Health Centers Inc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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