Individual provider Active NPI

Rachel Chisausky, DO

  • Family Medicine Physician
  • Plummer, ID
National Provider Identifier
1134765910
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP61418444 Issued in WA
Practice address
427 12TH St
Plummer, ID 83851-4000
Phone
(208) 686-1931
NPI assigned
Nov 26, 2019
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X O-1565 ID
Family Medicine Physician 207Q00000X OP61418444 WA Primary

Addresses

Primary practice location

427 12TH St
Plummer, ID 83851-4000

Mailing address

PO Box 388
Plummer, ID 83851-0388
Phone (208) 686-1931

Other practice location 1

1919 Lincoln Way Ste 315
Coeur D Alene, ID 83814-2527
Phone (208) 625-6000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rchisausky437423@direct.multicare.org

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230714000567 WA Practitioner - Family Practice 0840615381 Reassigns benefits to 2 organizations
I20240815004130 ID Practitioner - Family Practice 0840615381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benewah Medical CenterGroup PAC ID 6709878622, 27 clinicians

Practice addresses (Care Compare)

427 12TH St
Plummer, ID 83851-4000

427 N
12TH
Plummer, ID 83851-0388

427 N 12TH St
PO Box 388
Plummer, ID 83851-0388

PO Box
Suite 388
Plummer, ID 83851

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP61418444WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Washington CurrentSince Dec 10, 2023 Accepting new patients
Harborview Medical Center CurrentSince Dec 10, 2023 Accepting new patients
Kootenai Health, Inc. Current Accepting new patients
Kootenai Health, Inc. CurrentSince Aug 1, 2024 Accepting new patients
University of Washington Current Accepting new patients
Benewah Medical Center CurrentSince Jan 19, 2025 Accepting new patients
Harborview Medical Center CurrentSince Dec 10, 2023 Accepting new patients
Kootenai Health, Inc. CurrentSince Aug 1, 2024 Accepting new patients
University of Washington CurrentSince Dec 10, 2023 Accepting new patients

Locations

1919 Lincoln Way
Ste 315
Coeur D Alene, ID 83814
Phone (208) 625-6000

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

427 12th St
Plummer, ID 83851
Phone (208) 686-1449

345 6th St
Ste 300
Bremerton, WA 98337
Phone (360) 337-5235

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000

4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 597-4414

908 Jefferson St
Seattle, WA 98104
Phone (206) 744-1675

Organizations & group practices 9

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 2

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": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1134765910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "PLUMMER",
            "state": "ID",
            "postal_code": "838510388",
            "telephone_number": "208-686-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 12TH ST",
            "city": "PLUMMER",
            "state": "ID",
            "postal_code": "838514000",
            "telephone_number": "208-686-1931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 Lincoln Way Ste 315",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142527",
            "country_code": "US",
            "telephone_number": "208-625-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHISAUSKY",
        "first_name": "RACHEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-1565",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP61418444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rchisausky437423@direct.multicare.org",
            "affiliation": "N",
            "address_1": "2003 Kootenai Health Way",
            "city": "Coeur D Alene",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838146051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plummer, ID

Sources for this page

Verify at the official NPI Registry.