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

Julie Kathleen McCardell, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1255312989

Julie Kathleen McCardell, NURSEPRACTITIONER is a Nurse Practitioner in Coeur D Alene, Idaho. Qualified in 1997, 29 years ago. Practices with Mountain West Derm - Blackhart PLLC, a 103-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
29
Licensed in
ID, WA
In the registry since
2005
Specialties on file
2
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Practice location Address checks out

1700 W Riverstone Dr
Coeur D Alene, ID 83814-5683
Phone: (208) 770-2822
Fax: (208) 770-2911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 62943 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP61232280 (WA)

Record details

NPI number1255312989
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedNovember 9, 2005
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Mountain West Derm - Blackhart Pllc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Coeur D Alene