NPI age
1 years
Enumerated 2025-05-02
● Active
Type 1 · Individual
Mariah Petersen, APP
Petersen is 1 of 5 nurse practitioner providers in Coeur D Alene and 1 of 79 in Idaho.
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-05-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 79 active nurse practitioner providers in Idaho.
NPI age
1 years
↓ 6 yr below median (7 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
39% of peers hold subspecialties
NPI lifetime · 2025 → 2026
2025-05Enumerated in NPPES
2025
2026
Where they practice
Practice location
1919 Lincoln Way Ste 415
Coeur D Alene, ID 838142527
Mailing address
6225 N Cornwall St
Coeur D Alene, ID 838155084
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new nurse practitioner provider has been added in Coeur D Alene in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.