P Praxis·MD
● Active Type 1 · Individual

MRS. Molly Susan Phillipp, C.R.N.P.

Nurse Practitioner·Idaho Falls, ID· NPI 1003925819 · Enumerated 2006 · 19 years on NPI
Phillipp is 1 of 3 nurse practitioner providers in Idaho Falls and 1 of 16 in Idaho.
NPI age
19 years
Enumerated 2006-08-29
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-05-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 16 active nurse practitioner providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 25% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
2065 E 17th St, Suite D
Idaho Falls, ID 834048042
📞 2085220747fax 2085229641
Mailing address
2065 E 17th St, Suite D
Idaho Falls, ID 834048042
📞 2085220747fax 2085229641

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #NP320A taxonomy 363LX0001X
  • Nurse Practitioner
    Definition to come...
    ID license #NP320A taxonomy 363LW0102X

Identifiers

TypeValueNotes
05 (ID) 002352900

Practice context

Part of a multi-provider practice. 16 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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