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

Sydney Elizabeth Disselkamp, FNP

Individual provider Nurse Practitioner · NPI 1023604089

Sydney Elizabeth Disselkamp, FNP is a Nurse Practitioner in Coeur D Alene, Idaho. Qualified in 2020, 6 years ago. Practices with Kootenai Health Inc, a 394-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
6
Licensed in
ID
In the registry since
2020
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

700 W Ironwood Dr Ste 378
Coeur D Alene, ID 83814-4401
Phone: (208) 625-3555
Fax: (208) 769-8616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 63540 (ID)

Record details

NPI number1023604089
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 14, 2020
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Kootenai Health Inc — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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