P Praxis·MD
● Active Type 1 · Individual

Matthew Fowler, AGNP-C

Nurse Practitioner·Nampa, ID· NPI 1053943688 · Enumerated 2020 · 6 years on NPI
Fowler is 1 of 21 nurse practitioner providers in Nampa and 1 of 374 in Idaho.
NPI age
6 years
Enumerated 2020-02-11
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 374 active nurse practitioner providers in Idaho.

NPI age
6 years
↑ 2 yr above median (4 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
1
In the 34% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-02Enumerated in NPPES
2020 2026

Where they practice

Practice location
1611 12th Ave Rd Ste A
Nampa, ID 836866182
📞 2085463650fax 2085051947
Mailing address
1123 12th Ave Rd # 325
Nampa, ID 836865738
📞 2085463650fax 2085051947

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #63745 taxonomy 363LP0808X
  • Nurse Practitioner
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    ID license #63745 taxonomy 363L00000X

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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