AUSTIN MONTGOMERY BREKKE (FNP, DNP) – Nurse Practitioner, NPI 1083346050

AUSTIN MONTGOMERY BREKKE (FNP, DNP) is a healthcare provider. based in Coeur d alene, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP, DNP. They hold a License No. AP61312368 (WA). The NPI Number for AUSTIN MONTGOMERY BREKKE (FNP, DNP) is 1083346050

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
AUSTIN MONTGOMERY BREKKE (FNP, DNP)
NPI
1083346050
Phone
(208) 819-2183
Address
2426 N Merritt Creek Loop Ste A
Enumeration Date
28 June 2022
Last Update Date
11 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2088192183
Graduation Year
2019 (7 years ago)
PAC ID
9739562778
Group Practice PAC ID
4981028503
Professional Enrollment ID
I20250523002229
Address ID
ID838144961CO2426XLOOP513
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:3State licenses:2Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for AUSTIN MONTGOMERY BREKKE (FNP, DNP)

  • 2426 N Merritt Creek Loop Ste A

    Coeur D Alene, ID 838144961

    Phone: (208) 819-2183

    Type: Location

  • 611 N IRON BRIDGE WAY

    SPOKANE, WA 992024932

    Phone: (509) 444-8888

    Type: Mailing

  • 15812 E INDIANA AVE

    SPOKANE VALLEY, WA 992161875

    Phone: (509) 444-8200

    Type: Location

  • 18112 E 11TH AVE

    GREENACRES, WA 990168657

    Phone: (509) 570-2695

    Type: Mailing

  • 17121 E 8TH AVE

    SPOKANE VALLEY, WA 990168556

    Phone: (208) 819-2183

    Fax: (208) 209-6063

    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: 2025-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220824000157INurse PractitionerWATBD
I20250523002229INurse PractitionerIDTBD

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: 4981028503View full group profile
NameSpecialtyState
Family PracticeID
Nurse PractitionerWA
Physician AssistantID
Emergency Medicine, Hospitalist, Family PracticeID
Internal MedicineID
Nurse PractitionerID
Nurse PractitionerID
Physician AssistantID
-ID
Nurse PractitionerID

Reviews

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Frequently asked questions

Can I cross-check AUSTIN MONTGOMERY BREKKE (FNP, DNP) using NPI 1083346050?
NPI 1083346050 belongs to AUSTIN MONTGOMERY BREKKE (FNP, DNP); compare other details if you need extra assurance.
Is there an active status for AUSTIN MONTGOMERY BREKKE (FNP, DNP)?
For scheduling context, AUSTIN MONTGOMERY BREKKE (FNP, DNP) is shown as active in the registry.
What kind of doctor is AUSTIN MONTGOMERY BREKKE (FNP, DNP)?
AUSTIN MONTGOMERY BREKKE (FNP, DNP) is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is AUSTIN MONTGOMERY BREKKE (FNP, DNP) associated with Coeur D Alene?
Public fields place AUSTIN MONTGOMERY BREKKE (FNP, DNP) around Coeur D Alene, Idaho. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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