NPI age
19 years
Enumerated 2007-03-07
● Active Type 2 · Organization
Pain Management Of North Idaho, Pllc
Pain Management Of North Idaho, Pllc is 1 of 20 pain medicine organizations in Idaho.
Primary specialty
Pain Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Botai
Practice Administrator
Last NPPES update
2025-06-26
Source: monthly bulk 2026-05
How this organization compares
Across 20 active pain medicine providers in Idaho.
NPI age
19 years
↑ 1 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1686 W Riverstone Dr, Ste 1
Coeur D Alene, ID 838145779
Mailing address
1686 W Riverstone Dr, Ste 1
Coeur D Alene, ID 838145779
Authorized official
Tina Marie Botai
Practice Administrator
📞 2087654807
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Patricia Bullick Social Worker NPI 1831110568
- Regina Marie Kendra Nurse Practitioner NPI 1790192284
- Denise Love, ARNP Nurse Practitioner NPI 1972944866
- Scott Magnuson, MD Anesthesiology NPI 1174593404
- Denise Struhs, ARNP Nurse Practitioner NPI 1114763489
Specialties
-
Pain Medicine PrimaryInterventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and...
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.