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

Laci Ann Burk, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1588912836

Laci Ann Burk, FNP-BC is a Nurse Practitioner in Sandpoint, Idaho. Qualified in 2012, 14 years ago. Practices with Bonner General Hospital Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Idaho and Montana.

Years since qualifying
14
Licensed in
ID, MT
In the registry since
2012
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

423 N 3rd Ave Ste 210
Sandpoint, ID 83864-1511
Phone: (208) 263-2173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP-1723A (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NUR-RN-LIC-34875 (MT)

Record details

NPI number1588912836
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedAugust 16, 2012
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Bonner General Hospital Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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