Nurse Practitioner Connect LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

NURSE PRACTITIONER CONNECT LLC

Practice address

2023 Moon Shadow Rd
Bonners Ferry, ID 83805-5424

Phone

(208) 255-9073

Fax

(208) 255-9073

NPI assigned

Oct 18, 2025

Last updated

Oct 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elisabeth Marie Mackey, NPNPI 1033665278

Title

Owner, Family Nurse Practitioner

Phone

(208) 255-9073

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elisabeth M Mackey, ARNP

  • Family Nurse Practitioner
  • Bonners Ferry, ID
  • NPI 1033665278
  NPD Authorized official

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

{
    "created_epoch": "1760745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760745600000",
    "number": "1215804984",
    "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",
            "fax_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",
            "fax_number": "208-255-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE PRACTITIONER CONNECT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-18",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A",
        "authorized_official_last_name": "MACKEY",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "208-255-9073",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance B Nason, APRN-CNP
• Chuck Lee Newhouse, MD
• North 45 Eye PLLC (Bonners Ferry Eye Care)
• North Idaho Classical Academy LLC
• North Idaho Family Dentistry
• Optimum Labworks LLC
• Amy Bethany Owens
• Pamela Schudar Svec Inc
• Partnerships for Inclusion, Inc.
• Partnerships for Inclusion, Inc.

• Primary Care Clinic/Center in Bonners Ferry, ID
• Providers in Bonners Ferry, ID by specialty
• Primary Care Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.