ELISABETH STEPHENS RD
NPI 1639876345
Dietitian, Registered in Mountain Home, ID

Q: What is Elisabeth Stephens's NPI number?

The NPI number for Elisabeth Stephens is 1639876345. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Q: What is Elisabeth Stephens's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since February 13, 2023Accepts Medicare Assignment

805 N 6TH E, MOUNTAIN HOME, ID 83647(208) 587-2450(208) 587-2451 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2023, Feb 13, 2023 (2 updates tracked since 2023).

On this page

About Elisabeth Stephens Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISABETH STEPHENS RD (NPI 1639876345) is an individual dietitian, registered in Mountain Home, Idaho, licensed in Idaho (D-1463) and active in the NPI registry since February 2023. She is affiliated with St Luke's Regional Medical Center, maintains a secondary practice location in Twin Falls, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639876345

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameELISABETH STEPHENSCredential: RD

Location Address805 N 6TH EMountain Home, ID 83647-2207

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 587-2450

Fax(208) 587-2451

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateFebruary 13, 2023

Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration

NPPES CertifiedAugust 20, 2025

✔ NPI 1639876345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in ID · D-1463

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

805 N 6TH E, Mountain Home, ID 83647

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Secondary Practice Location 1

Location 1801 Pole Line Rd W Rm H1155Twin Falls, ID 83301-5810 · Phone (208) 814-1016 · Fax (208) 814-7212

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elisabeth Stephens Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557711934

PECOS Enrollment IDI20231227002079

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83647 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.44 – $160.17

Typical copayment $0.00 (range $13.11 – $40.04)

Most-billed visit code NA

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL P KOELSCH MD

Internal Medicine

805 N 6TH E
MOUNTAIN HOME, ID 83647

Elmore County (208) 587-5880

LINDA G SHAW FNP

Nurse Practitioner (Family)

805 N 6TH E
MOUNTAIN HOME, ID 83647

Elmore County (208) 587-5880

DR. RICHARD FREDERICK STARKEY MD

Family Medicine

805 N 6TH E
MOUNTAIN HOME, ID 83647

Elmore County (208) 587-9736

DERRICK A ROWE PA-C

Physician Assistant

805 N 6TH E
MOUNTAIN HOME, ID 83647

Elmore County (208) 587-2450

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elisabeth Stephens's NPI number?

The NPI number for Elisabeth Stephens is 1639876345. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Where is Elisabeth Stephens located?

Elisabeth Stephens practices at 805 N 6th E, Mountain Home, ID 83647. The listed phone number is (208) 587-2450.

What is Elisabeth Stephens's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Elisabeth Stephens enrolled in Medicare?

Yes. Elisabeth Stephens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elisabeth Stephens accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Elisabeth Stephens as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elisabeth Stephens affiliated with any hospitals?

According to CMS data, Elisabeth Stephens is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Elisabeth Stephens was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.