P Praxis·MD
● Active Type 1 · Individual

Kelsey Eileen Moe, PCP-NP

Nurse Practitioner·Boise, ID· NPI 1043173875 · Enumerated 2025 · 0 years on NPI
Moe is 1 of 23 nurse practitioner providers in Boise and 1 of 58 in Idaho.
NPI age
— years
Enumerated 2025-12-08
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 58 active nurse practitioner providers in Idaho.

NPI age
0 years
↓ 8 yr below median (8 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-12Enumerated in NPPES
2025 2026

Where they practice

Practice location
305 E Jefferson St
Boise, ID 837126231
📞 2087065437
Mailing address
305 E Jefferson St
Boise, ID 837126231

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #202530200 taxonomy 363LP0200X

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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