MS. JANA M QUALLS FNP
NPI 1083670889
Nurse Practitioner - Critical Care Medicine in Coeur D Alene, ID
NPI Status: Active since April 21, 2006
Contact Information
913 W CANFIELD AVE
COEUR D ALENE, ID
ZIP 83815
Phone: (208) 957-7808
Fax: (949) 957-2456
- Individual
- Female
- Years of Experience 26
- Nurse Practitioner
- Critical Care Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JANA QUALLS
This page provides the complete NPI Profile along with additional information for Jana Qualls, a provider established in Coeur D Alene, Idaho with a medical specialization in Nurse Practitioner, focusing in critical care medicine and more than 26 years of experience. The healthcare provider is registered in the NPI registry with number 1083670889 assigned on April 2006. The practitioner's primary taxonomy code is 363LC0200X with license number NP-1631A (ID). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1083670889
- Provider Name
- MS. JANA M QUALLS FNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 913 W CANFIELD AVE COEUR D ALENE, ID 83815
- Location Phone
- (208) 957-7808
- Location Fax
- (949) 957-2456
- Mailing Address
- 3117 W AUGUSTIN DR COEUR D ALENE, ID 83815
- Mailing Phone
- (208) 957-7808
- Mailing Fax
- (949) 957-2456
- Medical School Name
- OTHER
- Graduation Year
- 2000
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-21-2006
- Last Update Date
- 12-05-2023
- Code Navigator
A nurse practitioner (NP) like Jana Qualls is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Critical Care Medicine
- Taxonomy Code
- 363LC0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- NP-1631A
- License State
- ID
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 363LC0200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 7267 (TN) |
2 | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | NP-1631A (ID) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jana Qualls is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Jana Qualls is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 4789668351
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20151111000209
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
New patient office or other outpatient visit, 45-59 minutes
Testing for presence of drug, read by direct observation
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 16 times for 16 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 804 times for 247 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 34 times for 34 patientsTesting for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
This service was performed 157 times for 138 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $20.28 for a new patient copayment and $23.31 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 83815 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.13
- Minimum New Patient Price $52.44
- Maximum New Patient Price $160.17
- Average New Patient Copayment $20.28
- Minimum New Patient Copayment $13.11
- Maximum New Patient Copayment $40.04
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.26
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $130.93
- Average Established Patient Copayment $23.31
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $32.73
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 8 | 3 | 6 | 7 | 0 | 8 | 8 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 16 | 3 | 12 | 7 | 0 | 8 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 1 + 6 + 3 + 1 + 2 + 7 + 0 + 8 + 1 + 6 + 24 = 61 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 61 = 9 | 9 |
The NPI number 1083670889 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1598796708 | DR. MICHAEL DAVID WHITING M.D. Individual | Family Medicine | 913 W CANFIELD AVE COEUR D ALENE, ID 83815 (208) 819-7103 |
1740680131 | KIMBERLY MCDERMOTT FNP-BC Individual | Nurse Practitioner (Family) | 913 W CANFIELD AVE COEUR D ALENE, ID 83815 (208) 819-7103 |
1073837472 | JILL MARIE WHITE ARNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 913 W CANFIELD AVE COEUR D ALENE, ID 83815 (208) 819-7103 |
1568695062 | MRS. LESLEY SUSANNE ROBERTS PA-C Individual | Physician Assistant (Medical) | 913 W CANFIELD AVE COEUR D ALENE, ID 83815 (208) 819-7103 |
1538503693 | RATHDRUM CLINIC, INC. Organization | Family Medicine (Addiction Medicine) | 913 W CANFIELD AVE COEUR D ALENE, ID 83815 (208) 819-7103 |
1295420651 | MIND AND BODY RESTORED Organization | Pain Medicine (Pain Medicine) | 913 W CANFIELD AVE COEUR D ALENE, ID 83815 (208) 957-7808 |
1831677681 | HOLLY E MURRAY FNP Individual | Nurse Practitioner (Family) | 913 W CANFIELD AVE COEUR D ALENE, ID 83815 (208) 819-7103 |
1336888478 | DESIREE HART NP-BC Individual | Nurse Practitioner | 913 W CANFIELD AVE COEUR D ALENE, ID 83815 (208) 957-7808 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083670889, enumerated in the NPI registry as an "individual" on April 21, 2006
The provider is located at 913 W Canfield Ave Coeur D Alene, Id 83815 and the phone number is (208) 957-7808
The provider's speciality is Nurse Practitioner with taxonomy code 363LC0200X with a focus in Critical Care Medicine
The provider has more than 26 years of experience.
The provider might be accepting Accepts: Mountain Health CO-OP and PacificSource Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $81.13 with an average copayment of $20.28 for new patient appointments. Established patients should expect a typical charge of $93.26 and an average copayment of 23.31. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, New patient office or other outpatient visit, 45-59 minutes and Testing for presence of drug, read by direct observation.
This NPI record was last updated on April 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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