LAURIE SUSANNE EDINGER (FNP) – Nurse Practitioner, NPI 1720194954

LAURIE SUSANNE EDINGER (FNP) is a healthcare provider. based in St maries, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. AP30007043 (WA). The NPI Number for LAURIE SUSANNE EDINGER (FNP) is 1720194954

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
LAURIE SUSANNE EDINGER (FNP)
NPI
1720194954
Phone
(208) 610-6213
Address
8554 BENEWAH CREEK RD
Enumeration Date
21 August 2006
Last Update Date
17 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5093326688
Graduation Year
2002 (24 years ago)
PAC ID
6709236995
Group Practice PAC ID
0648356543
Professional Enrollment ID
I20240101000108
Address ID
WA991637007PU805XXDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,268 NURSE PRACTITIONER in WA

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Provider Addresses for LAURIE SUSANNE EDINGER (FNP)

  • 8554 BENEWAH CREEK RD

    ST MARIES, ID 838619367

    Phone: (208) 610-6213

    Type: Mailing

  • Jonathan M. Wainwright Memorial VA Medical Center, 77, Wainwright Drive, Walla Walla, Walla Walla County, Washington, 99362, United States

    WALLA WALLA, WA 993623975

    Phone: (509) 525-5200

    Type: Mailing

  • 502 E AMENDE DR

    ODESSA, WA 991597003

    Phone: (999) 999-9999

    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: 2025-02-21

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
I20240101000108INurse PractitionerWATBD
I20250221000814INurse 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 83861)

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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: 0648356543View full group profile
NameSpecialtyState
Internal Medicine, Family PracticeWA
-AZ
-WA

Reviews

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Frequently asked questions

Is LAURIE SUSANNE EDINGER (FNP) listed with a National Provider Identifier?
Yes — LAURIE SUSANNE EDINGER (FNP) has NPI 1720194954 on file in the registry.
Is LAURIE SUSANNE EDINGER (FNP) shown as active in public data?
Registry records indicate LAURIE SUSANNE EDINGER (FNP) maintains an active NPI.
What expertise is attributed to LAURIE SUSANNE EDINGER (FNP)?
LAURIE SUSANNE EDINGER (FNP)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with LAURIE SUSANNE EDINGER (FNP)?
Directory geography for LAURIE SUSANNE EDINGER (FNP) centers on St Maries, Idaho.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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