P Praxis·MD
● Active Type 1 · Individual

Staci Jae Thomas, WHNP-BC

Nurse Practitioner·Boise, ID· NPI 1013739838 · Enumerated 2024 · 1 years on NPI
Thomas is 1 of 13 nurse practitioner providers in Boise and 1 of 56 in Idaho.
NPI age
1 years
Enumerated 2024-10-31
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-11-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 56 active nurse practitioner providers in Idaho.

NPI age
1 years
↓ 10 yr below median (11 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-10Enumerated in NPPES
2024 2026

Where they practice

Practice location
100 E Idaho St Ste 302
Boise, ID 837126269
📞 2083437501fax 2083368248
Mailing address
190 E Bannock St
Boise, ID 837126241

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #5961472 taxonomy 363LW0102X

Practice context

Part of a multi-provider practice. 6 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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