NPI age
3 years
Enumerated 2023-01-11
● Active
Type 1 · Individual
Kelisha Mistry, RN
Mistry is 1 of 146 registered nurse providers in Boise and 1 of 354 in Idaho.
Primary specialty
Registered Nurse
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-01-11
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 354 active registered nurse providers in Idaho.
NPI age
3 years
≈ at median (3 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties
NPI lifetime · 2023 → 2026
2023-01Enumerated in NPPES
2023
2026
Where they practice
Practice location
500 W Fort St
Boise, ID 837024501
Mailing address
500 W Fort St
Boise, ID 837024501
Specialties
-
Registered Nurse Primary(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
Practice context
Part of a multi-provider practice. 574 other active providers share this practice address in NPPES.
Recently enumerated nearby: 10 new registered nurse providers have been added in Boise in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.