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

Krista Tickemyer, FNP

Individual provider Registered Nurse · NPI 1114393618

Krista Tickemyer, FNP is a Nurse Practitioner in Coeur D Alene, Idaho. Qualified in 2014, 12 years ago. Practices with Kootenai Health Inc, a 394-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
12
Licensed in
ID
In the registry since
2015
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1919 Lincoln Way Ste 415
Coeur D Alene, ID 83814
Phone: (208) 625-4595
Fax: (208) 625-4596
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1090 W. Park Place, Coeur D'Alene, ID 83814 — (208) 292-0292

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence N-40239 (ID)
Registered Nurse Taxonomy 163W00000X · Licence N-35924 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NP-1596A (ID)

Record details

NPI number1114393618
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 19, 2015
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Kootenai Health Inc — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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