P Praxis·MD
● Active Type 1 · Individual

Olivia Southard Mayfield, AGPCNP-BC

Nurse Practitioner·Meridian, ID· NPI 1063125672 · Enumerated 2022 · 3 years on NPI
Mayfield is 1 of 5 nurse practitioner providers in Meridian and 1 of 39 in Idaho.
NPI age
3 years
Enumerated 2022-12-28
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-12-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 39 active nurse practitioner providers in Idaho.

NPI age
3 years
↓ 2 yr below median (5 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
0
48% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-12Enumerated in NPPES
2022 2026

Where they practice

Practice location
3015 E Magic View Dr Ste 130
Meridian, ID 836423750
📞 2084825567fax 2084825515
Mailing address
3843 W Riva Capri St
Meridian, ID 836466739
📞 5204888568

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
4842 N Cortona Way
Meridian, ID 836463171
📞 2085792024
Location 3
7979 W Rifleman St
Boise, ID 837049066
📞 2084825530

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #74554 taxonomy 363LG0600X

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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