ELIZABETH ANN SCHACKMANN MD
NPI 1649634718
Internal Medicine in Boise, ID

Q: What is Elizabeth Schackmann's NPI number?

The NPI number for Elizabeth Schackmann is 1649634718. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Q: What is Elizabeth Schackmann's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 05, 2016PECOS Enrolled

500 W FORT ST # 111, BOISE, ID 83702(208) 695-9613 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2022, Mar 22, 2021, Jul 24, 2019 (3 updates tracked since 2019).

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About Elizabeth Ann Schackmann Md NPPES

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

ELIZABETH ANN SCHACKMANN MD (NPI 1649634718) is an individual internal medicine provider in Boise, Idaho, licensed in Idaho (M-14804) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1649634718

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameELIZABETH ANN SCHACKMANNCredential: MD

Location Address500 W FORT ST # 111Boise, ID 83702-4501

Mailing Address500 W Fort St # 111rBoise, ID 83702-4501 · (208) 695-9613

Phone(208) 695-9613

Sole ProprietorNo

Enumeration DateApril 5, 2016

Last NPPES UpdateFebruary 25, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2022

✔ NPI 1649634718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in ID · M-14804

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

500 W FORT ST # 111, Boise, ID 83702

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Secondary Practice Location 1

Location 11959 NE Pacific St, Room BB-527, Box 356421Seattle, WA 98195-6421 · Phone (801) 550-3533

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Ann Schackmann Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

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 13

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

JACQUELINE KELLY M.D.

Internal Medicine

500 W FORT ST # 111, BOISE VAMC
BOISE, ID 83702

Ada County (208) 422-1314

SCOTT BRUNSON MD

Emergency Medicine