Elisabeth Stephens, RD - Medicare Dietitian in Mountain Home, ID

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Elisabeth Stephens, RD is a medicare enrolled "Dietitian, Registered" provider in Mountain Home, Idaho. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice St Lukes Clinic-treasure Valley Llc and her current practice location is 805 N 6th E, Mountain Home, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 587-2450.

Elisabeth Stephens is licensed to practice in Idaho (license number D-1463) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639876345.

Contact Information

Elisabeth Stephens, RD
805 N 6th E,
Mountain Home, ID 83647-2207
(208) 587-2450
(208) 587-2451

Map and Direction




Healthcare Provider's Profile

Full NameElisabeth Stephens
GenderFemale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience4 Years
Location805 N 6th E, Mountain Home, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Elisabeth Stephens graduated from medical school in 2022
  NPI Data:
  • NPI Number: 1639876345
  • Provider Enumeration Date: 02/13/2023
  • Last Update Date: 08/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1557711934
  • Enrollment ID: I20231227002079

Medical Identifiers

Medical identifiers for Elisabeth Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639876345NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered D-1463 (Idaho)Primary
133V00000XDietitian, Registered (Idaho)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc49818784021159

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Elisabeth Stephens allows following entities to bill medicare on her behalf.
Provider NameSt Lukes Clinic Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1790718229
PECOS PAC ID: 1052217478
Enrollment ID: O20031208000899

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elisabeth Stephens is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elisabeth Stephens, RD
190 E Bannock St,
Boise, ID 83712-6241

Ph: () -		Elisabeth Stephens, RD
805 N 6th E,
Mountain Home, ID 83647-2207

Ph: (208) 587-2450

Reviews and Comments


Dietitian, Registered in Mountain Home, ID

Austen Davis Kemper, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2280 American Legion Blvd, Mountain Home, ID 83647
Phone: 208-881-1960    
Mountain Home Nutrition Services Llc
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 285 E 4th N, Mountain Home, ID 83647
Phone: 208-590-0858    
Ms. Laura Jean Moulton, R.D.N.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 285 E 4th N, Mountain Home, ID 83647
Phone: 208-590-0858    Fax: 855-740-2997
Jacob Hohenshelt, RDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 895 N 6th E, Mountain Home, ID 83647
Phone: 208-841-5393    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.