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

Ryan Hale

Individual provider Nurse Practitioner · NPI 1861199721

Ryan Hale is a Nurse Practitioner in Coeur D Alene, Idaho. Qualified in 2022, 4 years ago. Practices with Indigo Idaho Services, LLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2023
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Practice location Address checks out

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone: (208) 625-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 700 W Ironwood Dr Ste 120, Coeur D Alene, ID 83814-4405 — (208) 625-3640

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 54007 (ID)

Record details

NPI number1861199721
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 10, 2023
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

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 Indigo Idaho Services, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Coeur D Alene