Individual provider Active NPI

Elisabeth Fisher, MSN (APRN)

  • Nurse Practitioner
  • Juneau, AK
National Provider Identifier
1730607664
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
132431 Issued in AK
Practice address
8585 Old Dairy Rd Ste 200
Juneau, AK 99801-8094
Phone
(877) 522-1275
NPI assigned
Aug 30, 2017
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60794601 WA
Nurse Practitioner 363L00000X 132431 AK Primary
Adult Health Nurse Practitioner 363LA2200X 132431 AK
Family Nurse Practitioner 363LF0000X 132431 AK
Primary Care Nurse Practitioner 363LP2300X 132431 AK
Women's Health Nurse Practitioner 363LW0102X 132431 AK
Registered Nurse 163W00000X RN60297117 WA

Addresses

Primary practice location

8585 Old Dairy Rd Ste 200
Juneau, AK 99801-8094

Mailing address

500 SW 7TH St Ste A205
Renton, WA 98057-2983
Phone (877) 522-1275

Other names 1

  • Elisabeth Gundelfinger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK, OR, ID, MT, ND6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20171101002739 WA Practitioner - Nurse Practitioner 4587920871 Reassigns benefits to 6 organizations
I20181009003252 AK Practitioner - Nurse Practitioner 4587920871 Reassigns benefits to 4 organizations
I20200423003159 OR Practitioner - Nurse Practitioner 4587920871 Reassigns benefits to 3 organizations
I20231024002465 ID Practitioner - Nurse Practitioner 4587920871 Reassigns benefits to 3 organizations
I20250626004112 MT Practitioner - Nurse Practitioner 4587920871 Reassigns benefits to 2 organizations
I20250714001314 ND Practitioner - Nurse Practitioner 4587920871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ideal Telemedicine Services LLCGroup PAC ID 2860726221, 47 clinicians
Ideal Option PLLCGroup PAC ID 6709013105, 90 clinicians

Practice addresses (Care Compare)

1221 Noble St
Suite 101
Fairbanks, AK 99701-4961
Phone (877) 522-1275

1221 W Divide Ave
Suite 202
Bismarck, ND 58501-1224
Phone (509) 570-9302

1523 Wyoming Ave
Billings, MT 59102-4105
Phone (877) 522-1275

380 N Capital Ave
Idaho Falls, ID 83402-3633
Phone (877) 522-1275

401 E 10TH Ave
Suite 330
Eugene, OR 97401-3357
Phone 87752212752123

8508 W Gage Blvd
Suite A101
Kennewick, WA 99336-8106
Phone 50957093022123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60794601WAMDNurse Practitioner
132431AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Jul 14, 2019 Accepting new patients
Providence Health & Services Washington CurrentSince Jul 14, 2019 Accepting new patients
Ideal Telemedicine Services, LLC CurrentSince Jun 1, 2023 Accepting new patients
Ideal Option, PLLC CurrentSince Jun 1, 2023 Accepting new patients
Providence Health & Services-Washington CurrentSince Jul 14, 2019 Accepting new patients
Ideal Option, PLLC Current Accepting new patients
Boulder Care Provider Group PA CurrentSince Apr 22, 2026 Accepting new patients
Ideal Option, PLLC Current Accepting new patients
Valley Medical Care PC CurrentSince Aug 28, 2018 Accepting new patients
Jordan Creek Family Health Care Nurse Practitioner Past Accepting new patients
Wellspring Inc Primary Care PastSince Aug 1, 2018 Accepting new patients
Ideal Option, PLLC PastSince Sep 3, 2025 Accepting new patients
Ideal Telemedicine Services, LLC Past Accepting new patients

Locations (25 of 74)

2421 E Tudor Rd
Ste 108
Anchorage, AK 99507
Phone (907) 317-1703

1221 Noble St
Ste 101
Fairbanks, AK 99701
Phone (907) 456-4234

1801 Salmon Creek Ln
Juneau, AK 99801
Phone (907) 586-2434

8585 Old Dairy Rd
Ste 200
Juneau, AK 99801

416 Frontage Rd
#200
Kenai, AK 99611
Phone (907) 283-6030

3035 E Palmer Wasilla Hwy
Ste 301
Wasilla, AK 99654
Phone (907) 352-2459

2537 W State St
Ste 110
Boise, ID 83702
Phone (208) 495-6555

8050 W Rifleman St
Ste 200
Boise, ID 83704

3110 Cleveland Blvd
Ste A7
Caldwell, ID 83605

3918 N Schreiber Way
Coeur D Alene, ID 83815
Phone (509) 961-6672

380 N Capital Ave
Idaho Falls, ID 83402
Phone (208) 881-5059

380 N Capital Ave
Ste 1
Idaho Falls, ID 83402

35 Wildcat Way
Kellogg, ID 83837
Phone (208) 784-1351

1630 23rd Ave
Ste 501
Lewiston, ID 83501

1950 E Clark St
Ste 110
Pocatello, ID 83201
Phone (208) 232-7246

2101 Pine St
Sandpoint, ID 83864
Phone (208) 263-5159

1523 Wyoming Ave
Billings, MT 59102
Phone (406) 248-3175

1532 Ellis St
Ste 104
Bozeman, MT 59715
Phone (406) 581-3381

834 S Montana St
Butte, MT 59701
Phone (406) 723-0123

615 W Main St
Cut Bank, MT 59427
Phone (406) 872-2024

74 4th St N
Glasgow, MT 59230

617 10th Ave S
Great Falls, MT 59405
Phone (406) 727-9330

301 Saddle Dr
Ste G
Helena, MT 59601
Phone (406) 422-5905

1205 S Main St
Kalispell, MT 59901

2685 Palmer St
Ste D
Missoula, MT 59808
Phone (406) 327-4349

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16390/brand/1/csg/1/fhir/r4

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1730607664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SW 7TH ST STE A205",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572983",
            "telephone_number": "877-522-1275",
            "fax_number": "833-888-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 OLD DAIRY RD STE 200",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018094",
            "telephone_number": "877-522-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ELISABETH",
        "credential": "MSN (APRN)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60794601",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "132431",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AK",
            "license": "132431",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "132431",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AK",
            "license": "132431",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AK",
            "license": "132431",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60297117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "GUNDELFINGER",
            "credential": "MSN (APRN)",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Juneau, AK

Sources for this page

Verify at the official NPI Registry.