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● Active Type 1 · Individual

Mrs. Holly Marie Heyne, FNP-C

Family (Nurse Practitioner)·Athol, ID· NPI 1003315789 · Enumerated 2018 · 8 years on NPI
Heyne is 1 of 4 family (nurse practitioner) providers in Athol and 1 of 1,324 in Idaho.
NPI age
8 years
Enumerated 2018-02-07
Primary specialty
Family (Nurse Practitioner)
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-12-20
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1324 active family (nurse practitioner) providers in Idaho.

NPI age
8 years
≈ at median (8 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
1
In the 27% of peers with subspecialties

NPI lifetime · 2018 → 2024

2018-02Enumerated in NPPES
2018 2024

Where they practice

Practice location
7173 E Super 1 Loop, Ste B
Athol, ID 83801
📞 2085619901fax 2085619968
Mailing address
1593 E Polston Ave
Post Falls, ID 838545326
📞 2082622300fax 2082622390

Specialties

  • Nurse Practitioner Primary
    CMS NPPES uses NUCC taxonomy code 363LF0000X for provider records classified as Family within Nurse Practitioner. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
    ID license #59037 taxonomy 363LF0000X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    ID license #47201 taxonomy 163W00000X

Identifiers

TypeValueNotes
05 (ID) 1003315789

Medicare directory context

Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare, retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.

Medicare specialties
Nurse Practitioner
Telehealth
Listed by CMS
Confirm current availability with the practice
Largest Medicare group
87 members
Largest listed enrollment group

Facility affiliations reported by CMS

  • North Idaho Day Surgery Llc

Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered. View the CMS dataset →

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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