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

Nelson Antoniuk, MD

Individual provider Family Medicine Physician · NPI 1588609176

Nelson Antoniuk, MD is a Family Practice in Priest River, Idaho. Qualified in 1995, 31 years ago. Practices with Boundary Regional Community Health Center Inc, a 23-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
31
Licensed in
ID, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6509 Highway 2 Ste 101
Priest River, ID 83856-6609
Phone: (208) 448-2321
Fax: (208) 448-1317
Show map & directions

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

Additional practice locations (1)

  • 810 N. Sixth Avenue, Sandpoint, ID 83864-5396 — (208) 265-2242

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-13097 (ID)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD00040823 (WA)

Record details

NPI number1588609176
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 18, 2006
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 4, 2022
Mailing addressPo Box 2160, Sandpoint, ID 83864-0908

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Boundary Regional Community Health Center Inc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Priest River