P Praxis·MD
● Active Type 1 · Individual

Bethany Joy Mello, NP-C

Nurse Practitioner·Eagle, ID· NPI 1033479696 · Enumerated 2012 · 14 years on NPI
Mello is 1 of 38 nurse practitioner providers in Eagle and 1 of 1280 in Idaho.
NPI age
14 years
Enumerated 2012-05-16
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-01-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
14 years
↑ 7 yr above median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
1
In the 27% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-05Enumerated in NPPES
2012 2026

Where they practice

Practice location
951 E Plaza Dr Ste 170
Eagle, ID 836166569
📞 2089393505
Mailing address
951 E Plaza Dr Ste 170
Eagle, ID 836166569
📞 2089393505

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #1639A taxonomy 363LF0000X
  • Registered Nurse
    (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...
    ID license #51084 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 3 new nurse practitioner providers have been added in Eagle in the last 180 days. See all →
Provyx · Custom healthcare lists

Need all 1280 Nurse Practitioner providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related