Individual provider Active NPI

Elisabeth M Mackey, ARNP

  • Family Nurse Practitioner
  • Bonners Ferry, ID
National Provider Identifier
1033665278
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
56072 Issued in ID
Practice address
2023 Moon Shadow Rd
Bonners Ferry, ID 83805-5424
Phone
(208) 255-9073
NPI assigned
Aug 28, 2016
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 56072 ID Primary

Addresses

Primary practice location

2023 Moon Shadow Rd
Bonners Ferry, ID 83805-5424

Mailing address

2023 Moon Shadow Rd
Bonners Ferry, ID 83805-5424
Phone (208) 255-9073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161025002807 WA Practitioner - Nurse Practitioner 6406134469 Reassigns benefits to 2 organizations
I20180614001452 ID Practitioner - Nurse Practitioner 6406134469 Reassigns benefits to 1 organization
Practice locations: Bonners Ferry, ID

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6843 Main St
Bonners Ferry, ID 83805-8552
Phone (208) 540-9290

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Aug 11, 2019 Accepting new patients
Nurse Practitioner Connect LLC CurrentSince Nov 9, 2025 Accepting new patients
Liberty Lake Chiropractic PS Nurse Practitioner CurrentSince Jan 1, 2021 Accepting new patients
Multicare Health System CurrentSince Aug 11, 2019 Accepting new patients
Multicare Health System Current Accepting new patients
Boundary Regional Community Health Center, Inc. Nurse Practitioner Current Accepting new patients
Bonners Ferry Family Medicine, PLLC CurrentSince Jun 17, 2018 Accepting new patients
North Idaho Internal Medicine PastSince Jan 12, 2023 Accepting new patients
Boundary Regional Community Health Center, Inc. Past Accepting new patients
Functional Medicine of North Idaho, PLLC Nurse Practitioner PastSince Jul 7, 2024 Accepting new patients

Locations

6488 Chinook St
Bonners Ferry, ID 83805
Phone (208) 267-8710

6615 Comanche St
Bonners Ferry, ID 83805
Phone (208) 267-1718

6509 Highway 2
Ste 101
Priest River, ID 83856
Phone (208) 448-2321

810 N Sixth Ave
Sandpoint, ID 83864
Phone (208) 263-7101

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

2207 N Molter Rd
Ste 250
Liberty Lake, WA 99019
Phone (208) 964-6466

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1033665278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 MOON SHADOW RD",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838055424",
            "telephone_number": "208-255-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 MOON SHADOW RD",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838055424",
            "telephone_number": "208-255-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "ELISABETH",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "56072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonners Ferry, ID

Sources for this page

Verify at the official NPI Registry.