P Praxis·MD
● Active Type 1 · Individual

Shellie Dean Graves, NP

Nurse Practitioner·Meridian, ID· NPI 1043869738 · Enumerated 2019 · 6 years on NPI
Graves is 1 of 4 nurse practitioner providers in Meridian and 1 of 6 in Idaho.
NPI age
6 years
Enumerated 2019-09-05
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 6 active nurse practitioner providers in Idaho.

NPI age
6 years
↑ 1 yr above median (4 yr)
State licenses
2 states
Top 66% — 33% of peers are multi-state
Subspecialties
1
In the 50% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-09Enumerated in NPPES
2019 2026

Where they practice

Practice location
520 S Eagle Rd Ste 2213
Meridian, ID 836426354
📞 2087065447fax 2087065448
Mailing address
190 E Bannock St
Boise, ID 837126241

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
5000 Pacific Coast Hwy
San Clemente, CA 92674
📞 9495310963
Location 3
23181 Verdugo Dr Ste 103a
Laguna Hills, CA 926531313
📞 8009647710

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #2271947 taxonomy 363LX0106X
  • Nurse Practitioner
    Definition to come...
    CA license #NP95011932 taxonomy 363LP2300X

Practice context

Part of a multi-provider practice. 2 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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