P Praxis·MD
● Active Type 1 · Individual

DR. Jeremy Robert Nicolarsen, MD

Pediatrics·Coeur D Alene, ID· NPI 1891946778 · Enumerated 2008 · 17 years on NPI
Nicolarsen is 1 of 1 pediatrics providers in Coeur D Alene and 1 of 15 in Idaho.
NPI age
17 years
Enumerated 2008-10-09
Primary specialty
Pediatrics
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-10-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 15 active pediatrics providers in Idaho.

NPI age
17 years
≈ at median (16 yr)
State licenses
1 state
20% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-10Enumerated in NPPES
2008 2026

Where they practice

Practice location
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
📞 2086254000
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
📞 2086254000

Specialties

  • Pediatrics Primary
    A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels,...
    ID license #M13579 taxonomy 2080P0202X

Practice context

Part of a multi-provider practice. 239 other active providers share 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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