Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellen Rae Mackinnon, CNS-NP

Individual provider Adult Health Nurse Practitioner · NPI 1861936049

Ellen Rae Mackinnon, CNS-NP is a Certified Clinical Nurse Specialist (Cns) in Driggs, Idaho. Qualified in 2016, 10 years ago. Practices with Advanced Physical Therapy and Wound Center, PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
10
Licensed in
CO
In the registry since
2016
Specialties on file
2

Practice location Address checks out

120 E Howard St
Driggs, ID 83422-5112
Phone: (208) 354-6354
Fax: (208) 354-2228
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Clinical Nurse Specialist (primary) Taxonomy 364SA2100X · Licence APN992817 (CO)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence APN992817 (CO)

Record details

NPI number1861936049
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNS-NP
Sole proprietorNo
NPI enumeratedDecember 7, 2016
Last updated in NPPESJuly 7, 2022
Certification dateJuly 7, 2022
Mailing address120 E Howard St, Driggs, ID 83422-5112

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED CLINICAL NURSE SPECIALIST (CNS)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Advanced Physical Therapy And Wound Center, Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Driggs