P Praxis·MD
● Active Type 1 · Individual

MR. Todd Bates, PMHNP

Clinical Nurse Specialist·Idaho Falls, ID· NPI 1063008829 · Enumerated 2020 · 5 years on NPI
Bates is 1 of 2 clinical nurse specialist providers in Idaho Falls and 1 of 16 in Idaho.
NPI age
5 years
Enumerated 2020-12-16
Primary specialty
Clinical Nurse Specialist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-12-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 16 active clinical nurse specialist providers in Idaho.

NPI age
5 years
↓ 12 yr below median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
62% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-12Enumerated in NPPES
2020 2026

Where they practice

Practice location
10478 S. 1st E
Idaho Falls, ID 83404
📞 2085214613
Mailing address
10478 S. 1st E
Idaho Falls, ID 83404
📞 2085214613

Specialties

  • Clinical Nurse Specialist Primary
    Definition to come...
    ID license #66494 taxonomy 364SP0808X

Practice context

Solo or small practice. No 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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