Michelle Poelstra
Individual provider Active NPI General Practice Registered Nurse · Ponderay, ID
NPI 1508716283 · NPPES record last updated Feb 2, 2026
Key facts
- NPI
- 1508716283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 1271146 (ID)
- Practice address
- 30410 Highway 200
Ponderay, ID 83852-9601 - Phone
- (208) 263-3211
- NPI assigned
- Feb 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1271146 | ID | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse |
163WG0000X | 1271146 | ID | Yes |
Addresses
Primary practice location
30410 Highway 200
Ponderay, ID 83852-9601
Mailing address
26 Lula CT
Sandpoint, ID 83864-2326
Phone (208) 610-5181
Other providers in Ponderay, ID
- Northern Lakes Chiropractic Clinic, P.C.
- Kendra Oliveira
- Bradley Owens
- Pend Oreille Surgery Center LLC
- Garrett Alexander Phillips
- Sarah Porter
- Kimberly Dawn Puckett
- Daniel Rial
- Joanna Richter
- Mario E Roxas
All providers in Ponderay, ID · General Practice Registered Nurse in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.