LYNETTE N MCCANNA (NP-C) – Family Nurse Practitioner, NPI 1619107364

LYNETTE N MCCANNA (NP-C) is a healthcare provider. based in Sandpoint, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. AP60102358 (WA). The NPI Number for LYNETTE N MCCANNA (NP-C) is 1619107364

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
LYNETTE N MCCANNA (NP-C)
NPI
1619107364
Phone
(208) 265-2221
Address
423 N 3RD AVE STE 210
Enumeration Date
15 July 2009
Last Update Date
17 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082652221
Graduation Year
2009 (17 years ago)
PAC ID
9436205556
Group Practice PAC ID
4082690466
Professional Enrollment ID
I20240606001373
Address ID
ID838641511SA423XXAVEX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for LYNETTE N MCCANNA (NP-C)

  • 423 N 3RD AVE STE 210

    SANDPOINT, ID 838641511

    Phone: (208) 265-2221

    Fax: (208) 265-2229

    Type: Mailing

  • Whitman Medical Group, 1210, West Fairview Street, Colfax, Whitman County, Washington, 99111, United States

    COLFAX, WA 991119552

    Phone: (509) 397-4717

    Fax: (509) 397-3501

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Exact Sciences Corporation ($34).

Total Amount

$87

General + Research + Ownership

Payments

4

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-06-06

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
I20240606001373INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes3117$0
View full utilization report →

Insurance plans in this area (ZIP 83864)

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Provider's Procedures

LYNETTE N MCCANNA (NP-C) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERWA20610Aspiration and/or injection of large joint or joint capsule3014
NURSE PRACTITIONERWA81002Urinalysis, manual test8150
NURSE PRACTITIONERWA85610Blood test, clotting time12715
NURSE PRACTITIONERWA90670Pneumococcal vaccine for injection into muscle3434

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: 4082690466View full group profile
NameSpecialtyState
Diagnostic RadiologyID
Nurse PractitionerID
Nurse PractitionerID
Diagnostic RadiologyID
Diagnostic RadiologyID
Orthopedic SurgeryID
Family PracticeWA
Diagnostic RadiologyID
Internal MedicineID
-ID

Reviews

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Frequently asked questions

Does LYNETTE N MCCANNA (NP-C) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LYNETTE N MCCANNA (NP-C) uses 1619107364.
Can I rely on LYNETTE N MCCANNA (NP-C) being an active provider?
As of the registry snapshot, LYNETTE N MCCANNA (NP-C) is marked active.
What is LYNETTE N MCCANNA (NP-C)'s specialty?
The listing groups LYNETTE N MCCANNA (NP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect LYNETTE N MCCANNA (NP-C) on a map?
Expect Sandpoint, Idaho as a primary anchor for LYNETTE N MCCANNA (NP-C) unless the record lists multiple sites.
Is the information about LYNETTE N MCCANNA (NP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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