Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mariah Petersen, APP

Individual provider Primary Care Nurse Practitioner · NPI 1336938752

Mariah Petersen, APP is a Nurse Practitioner in Coeur D Alene, Idaho. Qualified in 2025, 1 year 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
1
Licensed in
ID
In the registry since
2025
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Practice location Address checks out

1919 Lincoln Way Ste 415
Coeur D Alene, ID 83814-2527
Phone: (208) 625-4595
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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) 625-4595

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 8771254 (ID)

Record details

NPI number1336938752
Entity typeIndividual (Type 1)
GenderFemale
Credentials APP
Sole proprietorNo
NPI enumeratedMay 2, 2025
Last updated in NPPESMay 2, 2025
Certification dateMay 2, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Kootenai Health Inc — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $220 2 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Kootenai Health Hospital · Coeur D'Alene, ID · listed as Kootenai Health, Inc

Colleagues at Kootenai Health Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 394 clinicians in the practice; 12 are shown here.

Other providers in Coeur D Alene