CORALYN JILL ALEXANDER (MD, PA) – Psychiatry Physician, NPI 1194713487

CORALYN JILL ALEXANDER (MD, PA) is a healthcare provider. based in Coeur d alene, Idaho. specializing in Psychiatry Physician. They hold the professional credentials MD, PA. They hold a License No. M6940 (ID). The NPI Number for CORALYN JILL ALEXANDER (MD, PA) is 1194713487

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
CORALYN JILL ALEXANDER (MD, PA)
NPI
1194713487
Phone
(208) 625-4000
Address
2003 KOOTENAI HEALTH WAY
Enumeration Date
11 October 2005
Last Update Date
29 August 2023

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2086254888
Graduation Year
1986 (40 years ago)
PAC ID
8123210754
Group Practice PAC ID
4789641598
Professional Enrollment ID
I20101015000447

Contacts

Secure Messaging
coralyn.alexander.p79@direct.kootenai.nextgenshare.com
SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

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Provider Addresses for CORALYN JILL ALEXANDER (MD, PA)

  • West Kootenai Health Way, Coeur d'Alene, Kootenai County, Idaho, 83815, United States

    COEUR D ALENE, ID 838146051

    Phone: (208) 625-4000

    Type: Mailing

  • 2199, West Ironwood Center Drive, Coeur d'Alene, Kootenai County, Idaho, 83814, United States

    COEUR D ALENE, ID 838142639

    Phone: (208) 625-4888

    Fax: (208) 625-5734

    Type: Location

  • PO BOX 421

    LIBERTY LAKE, WA 990190421

    Phone: (866) 747-2455

    Type: Mailing

  • 235 E ROWAN AVE STE 220

    SPOKANE, WA 992071240

    Phone: (509) 474-2223

    Type: Location

  • 322 W NORTH RIVER DR

    SPOKANE, WA 992013208

    Phone: (509) 324-6464

    Fax: (509) 241-2056

    Type: Mailing

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: 2021-10-29

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
I20211029001797IPsychiatryWATBD

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: 4789641598View full group profile
NameSpecialtyState
-ID
Orthopedic SurgeryID
Interventional CardiologyWA
-ID
-WA
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineID
-WA
-ID
-OR
Pulmonary Disease, Critical Care (Intensivists)ID

Reviews

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Frequently asked questions

How do I look up CORALYN JILL ALEXANDER (MD, PA) by NPI?
Use NPI 1194713487 when you need to reference CORALYN JILL ALEXANDER (MD, PA) in forms, claims, or directories.
Is CORALYN JILL ALEXANDER (MD, PA) currently active in the NPI registry?
CMS-published data lists CORALYN JILL ALEXANDER (MD, PA) as an active registrant.
What field does CORALYN JILL ALEXANDER (MD, PA) work in?
You can think of CORALYN JILL ALEXANDER (MD, PA) as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for CORALYN JILL ALEXANDER (MD, PA)?
The page summarizes Coeur D Alene, Idaho for CORALYN JILL ALEXANDER (MD, PA); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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