Active NPI
Elisabeth M Mackey, ARNP
- Family Nurse Practitioner
- Bonners Ferry, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 56072
- Practice address
- 2023 Moon Shadow Rd
Bonners Ferry, ID 83805-5424 - Phone
- (208) 255-9073
- NPI assigned
- Aug 28, 2016
- Last updated
- Nov 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Nurse Practitioner Connect LLC | Current | Accepting new patients | |
| Liberty Lake Chiropractic PS | Nurse Practitioner | Current | Accepting new patients |
| Multicare Health System | Current | 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 | Current | Accepting new patients | |
| North Idaho Internal Medicine | Past | Accepting new patients | |
| Boundary Regional Community Health Center, Inc. | Past | Accepting new patients | |
| Functional Medicine of North Idaho, PLLC | Nurse Practitioner | Past | 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.
-
- Rural Health Clinic/Center
- Bonners Ferry, ID
- NPI 1922152537
-
dba Spokane Spine and Disc
- Chiropractor
- Liberty Lake, WA
- NPI 1316116262
Nurse Practitioner
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Primary Care Clinic/Center
- Bonners Ferry, ID
- NPI 1215804984
-
dba Kaniksu Community Health
- Federally Qualified Health Center (FQHC)
- Priest River, ID
- NPI 1538447727
Nurse Practitioner
-
dba MultiCare Rockwood Lab
- Clinical Medical Laboratory
- Tacoma, WA
- NPI 1154818326
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba Kaniksu Community Health
- Federally Qualified Health Center (FQHC)
- Sandpoint, ID
- NPI 1316343320
-
- Nurse Practitioner
- Hayden, ID
- NPI 1750920401
-
- Internal Medicine Physician
- Moyie Springs, ID
- NPI 1184347445
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Bonners Ferry, ID
- NPI 1801896683
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.