REGINA MARIE KENDRA – Nurse Practitioner, NPI 1790192284

REGINA MARIE KENDRA is a healthcare provider. based in Coeur d alene, Idaho. specializing in NURSE PRACTITIONER. They hold a License No. AP60477652 (WA). The NPI Number for REGINA MARIE KENDRA is 1790192284

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
REGINA MARIE KENDRA
NPI
1790192284
Phone
(208) 762-0480
Address
1686 W RIVERSTONE DR
Enumeration Date
16 July 2014
Last Update Date
14 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2086642363
Graduation Year
2014 (12 years ago)
PAC ID
1254551500
Group Practice PAC ID
0547228413
Professional Enrollment ID
I20160307002122
Address ID
ID838145779CO1686XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for REGINA MARIE KENDRA

  • 1686 W RIVERSTONE DR

    COEUR D ALENE, ID 838145779

    Phone: (208) 762-0480

    Fax: (866) 573-0853

    Type: Mailing

  • 8268 N COOLIN DR

    HAYDEN, ID 838359831

    Phone: (208) 762-0480

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $569.

Total Amount is formed as General ($569) + Research ($0) + Ownership ($0) = $569.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($191).

Total Amount

$569

General + Research + Ownership

Payments

27

Total payment records

General Amount

$569

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2016-03-07

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
I20160307002122INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes429204$0
99213Established patient office or other outpatient visit, 20-29 minutes278189$0
96127Assessment of emotional or behavioral problems13996$0
99203New patient office or other outpatient visit, 30-44 minutes131131$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
View full utilization report →

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: 0547228413View full group profile
NameSpecialtyState
Nurse PractitionerID
Interventional Pain ManagementID
Anesthesiology, Pain ManagementID
Nurse PractitionerID

Reviews

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Frequently asked questions

How is REGINA MARIE KENDRA identified in CMS data?
CMS-hosted NPPES data lists REGINA MARIE KENDRA with NPI 1790192284.
Does the file indicate REGINA MARIE KENDRA is practicing under active NPI?
Directory data currently reports REGINA MARIE KENDRA as active.
What is REGINA MARIE KENDRA's primary classification?
Nurse Practitioner is the headline specialty for REGINA MARIE KENDRA here. Clinical services aligned with this taxonomy classification.
Does REGINA MARIE KENDRA list a practice location?
Patients near Coeur D Alene, Idaho may find REGINA MARIE KENDRA in results; validate coverage separately.
Why does REGINA MARIE KENDRA have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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