NPI age
19 years
Enumerated 2006-07-30
● Active
Type 1 · Individual
Jared Petrick
Petrick is 1 of 38 nurse practitioner providers in Coeur D Alene and 1 of 374 in Idaho.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID, UT
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-05-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 374 active nurse practitioner providers in Idaho.
NPI age
19 years
↑ 15 yr above median (4 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
90 E 200 N
Logan, UT 843210689
Location 3
2199 W Ironwood Center Dr
Coeur D Alene, ID 838142639
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 239 other active providers share this practice address in NPPES.
Recently enumerated nearby: 3 new nurse practitioner providers have been added in Coeur D Alene in the last 180 days.
See all →
Provyx · Custom healthcare lists
Need all 374 Nurse Practitioner providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
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.