MADELINE GRACE STEWART (NP) – Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1710869680

MADELINE GRACE STEWART (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. 2771366 (ID). The NPI Number for MADELINE GRACE STEWART (NP) is 1710869680

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MADELINE GRACE STEWART (NP)
NPI
1710869680
Phone
(208) 292-4006
Address
909 W CANFIELD AVE
Enumeration Date
22 July 2025
Last Update Date
22 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082924006
Graduation Year
2025 (1 year ago)
PAC ID
3375030455
Group Practice PAC ID
8426428418
Professional Enrollment ID
I20251013003893
Address ID
ID838159764CO909XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for MADELINE GRACE STEWART (NP)

  • 909 W CANFIELD AVE

    COEUR D ALENE, ID 838159764

    Phone: (208) 292-4006

    Fax: (866) 229-7081

    Mailing address matches the actual address.

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: 2025-10-13

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
I20251013003893INurse 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 83815)

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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: 8426428418View full group profile
NameSpecialtyState
Nurse PractitionerID
Nurse PractitionerID
Nurse PractitionerID
Nurse PractitionerID
Nurse PractitionerID

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Frequently asked questions

What number should I use to identify MADELINE GRACE STEWART (NP) for billing?
Administrative and clinical systems typically use NPI 1710869680 for MADELINE GRACE STEWART (NP).
Does the public listing show MADELINE GRACE STEWART (NP) as active?
MADELINE GRACE STEWART (NP)'s NPI record reflects an active status in NPPES.
What type of care does MADELINE GRACE STEWART (NP) provide?
MADELINE GRACE STEWART (NP)'s profile centers on Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MADELINE GRACE STEWART (NP) in Coeur D Alene, Idaho?
For routing, start with Coeur D Alene, Idaho for MADELINE GRACE STEWART (NP), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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