P Praxis·MD
● Active Type 1 · Individual

Jennifer Raae-Nielsen, MD

Emergency Medicine·Burley, ID· NPI 1023671062 · Enumerated 2019 · 7 years on NPI
Raae-Nielsen is 1 of 6 emergency medicine providers in Burley and 1 of 336 in Idaho.
NPI age
7 years
Enumerated 2019-04-16
Primary specialty
Emergency Medicine
Plus 3 subspecialties
Licensed in
WA, CA, ID
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-08-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 336 active emergency medicine providers in Idaho.

NPI age
7 years
↓ 11 yr below median (18 yr)
State licenses
3 states
Top 59% — 40% of peers are multi-state
Subspecialties
1
In the 51% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-04Enumerated in NPPES
2019 2026

Where they practice

Practice location
1501 Hiland Ave
Burley, ID 833182688
📞 5165931380fax 5163208983
Mailing address
Po Box 30180
Salt Lake City, UT 841300180

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
11234 Anderson St
Loma Linda, CA 923542804
📞 9095584085
Location 3
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
📞 2086255084

Specialties

  • Emergency Medicine Primary
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    WA license #MD61478134CA license #A176525ID license #M-17282 taxonomy 207P00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 64 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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