ELISABETH M MACKEY ARNP NPI 1033665278

NPI Information

  • NPI: 1033665278
  • Provider Name: ELISABETH M MACKEY, ARNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2023 MOON SHADOW RD
    BONNERS FERRY, ID
    ZIP 83805
  • Phone: (208) 255-9073

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NPI Details

Elisabeth M Mackey, ARNP is a family nurse practitioner in Bonners Ferry, ID with 10 years of experience. Elisabeth M Mackey, ARNP NPI is 1033665278. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2023 MOON SHADOW RD
BONNERS FERRY, ID
ZIP 83805-424
Phone: (208) 255-9073

The NPI 1033665278 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/28/2016 and was last updated on 11/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily56072IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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