Individual provider Active NPI

Lisa Isaksen, NP-C, PMHNP-BC

  • Family Nurse Practitioner
  • Emmett, ID
National Provider Identifier
1841655826
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-1675A Issued in ID
Practice address
1202 E Locust St
Emmett, ID 83617-2715
Phone
(208) 365-3561
Fax
(208) 365-3589
NPI assigned
Dec 17, 2015
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-1675A ID Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP-1675A ID

Addresses

Primary practice location

1202 E Locust St
Emmett, ID 83617-2715

Mailing address

1202 E Locust St
Emmett, ID 83617-2715
Phone (208) 365-3561

Other practice location 1

1000 N Curtis Rd Ste 202
Boise, ID 83706-1346
Phone (208) 283-7314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160401001611 ID Practitioner - Nurse Practitioner 9537466784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrity Psychiatric Services LLCGroup PAC ID 4082968599, 13 clinicians
Walter Knox Memorial HospitalGroup PAC ID 7012907785, 21 clinicians

Practice addresses (Care Compare)

1000 N Curtis Rd
Suite 202
Boise, ID 83706-1346
Phone (208) 283-7314

1102 E Locust St
Emmett, ID 83617-2713
Phone (208) 365-6004

280 E Corporate Dr
Suite 200
Meridian, ID 83642-2953
Phone (208) 283-7314

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-1675AIDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Walter Knox Memorial Hospital CurrentSince Feb 9, 2016 Accepting new patients
Walter Knox Memorial Hospital Family Medicine CurrentSince Feb 9, 2016 Accepting new patients
Walter Knox Memorial Hospital Past Accepting new patients

Locations

1024 E Locust St
Emmett, ID 83617
Phone (208) 365-1065

1102 E Locust St
Emmett, ID 83617
Phone (208) 365-6004

119 N Wardwell Ave
Emmett, ID 83617
Phone (208) 365-6311

1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338

2135 S Sub Station Rd
Emmett, ID 83617
Phone (208) 488-6300

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/
  • Direct secure messaging: lisaksen@valorhealth.cernerdirect.com

Organizations & group practices 4

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 3

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": "1450310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1841655826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 E LOCUST ST",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836172715",
            "telephone_number": "208-365-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 E LOCUST ST",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836172715",
            "telephone_number": "208-365-3561",
            "fax_number": "208-365-3589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Curtis Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837061346",
            "country_code": "US",
            "telephone_number": "208-283-7314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISAKSEN",
        "first_name": "LISA",
        "credential": "NP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-17",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1675A",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "NP-1675A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmett, ID

Sources for this page

Verify at the official NPI Registry.