BRITTANY CHISHOLM (NP) – Nurse Practitioner, NPI 1063304277

BRITTANY CHISHOLM (NP) is a healthcare provider. based in Coeur d alene, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. ARNP.AP.70021809-NP (WA). The NPI Number for BRITTANY CHISHOLM (NP) is 1063304277

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
BRITTANY CHISHOLM (NP)
NPI
1063304277
Phone
Not provided
Address
1017 E PINE AVE
Enumeration Date
21 July 2025
Last Update Date
21 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5093633100304
Graduation Year
2025 (1 year ago)
PAC ID
8729586920
Group Practice PAC ID
1254320922
Professional Enrollment ID
I20250807001983
Address ID
WA992161138SP1123XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

6,268 NURSE PRACTITIONER in WA

Provider Addresses for BRITTANY CHISHOLM (NP)

  • 1017 E PINE AVE

    COEUR D ALENE, ID 838143848

    Phone:

    Type: Mailing

  • 1123 N EVERGREEN RD

    SPOKANE VALLEY, WA 992161138

    Phone: (509) 363-1104

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250807001983INurse PractitionerWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83814)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254320922View full group profile
NameSpecialtyState
Nurse PractitionerWA
N E U R O S U R G E R YWA
Physician AssistantWA
Physician AssistantWA
Orthopedic SurgeryWA
-CO
-WA
Nurse PractitionerWA
Anesthesiology, Interventional Pain ManagementWA
Anesthesiology, Pain ManagementTX

Reviews

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Frequently asked questions

How do I look up BRITTANY CHISHOLM (NP) by NPI?
Use NPI 1063304277 when you need to reference BRITTANY CHISHOLM (NP) in forms, claims, or directories.
Does this profile mean BRITTANY CHISHOLM (NP) is currently active?
Yes — BRITTANY CHISHOLM (NP) appears active in the national provider directory.
Does BRITTANY CHISHOLM (NP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for BRITTANY CHISHOLM (NP). Clinical services aligned with this taxonomy classification.
What location metadata exists for BRITTANY CHISHOLM (NP)?
The page summarizes Coeur D Alene, Idaho for BRITTANY CHISHOLM (NP); expand the address list for detail.
How can I contact BRITTANY CHISHOLM (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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