P Praxis·MD
● Active Type 1 · Individual

Ellen Rae MacKinnon, CNS-NP

Clinical Nurse Specialist·Driggs, ID· NPI 1861936049 · Enumerated 2016 · 9 years on NPI
MacKinnon is 1 of 1 clinical nurse specialist providers in Driggs and 1 of 2 in Idaho.
NPI age
9 years
Enumerated 2016-12-07
Primary specialty
Clinical Nurse Specialist
Plus 1 subspecialty
Licensed in
CO
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2 active clinical nurse specialist providers in Idaho.

NPI age
9 years
↑ 3 yr above median (6 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 50% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-12Enumerated in NPPES
2016 2026

Where they practice

Practice location
120 E Howard St
Driggs, ID 834225112
📞 2083546354fax 2083542228
Mailing address
120 E Howard St
Driggs, ID 834225112
📞 2083546354fax 2083542228

Specialties

  • Clinical Nurse Specialist Primary
    Definition to come...
    CO license #APN992817 taxonomy 364SA2100X
  • Nurse Practitioner
    Definition to come...
    CO license #APN992817 taxonomy 363LA2200X

Practice context

Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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