P Praxis·MD
● Active Type 1 · Individual

Angeles L Ballou, FNP

Nurse Practitioner·Boise, ID· NPI 1093863433 · Enumerated 2007 · 19 years on NPI
Ballou is 1 of 303 nurse practitioner providers in Boise and 1 of 1280 in Idaho.
NPI age
19 years
Enumerated 2007-01-08
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
MS, AL
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-06-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
444 W Fort St Fl 2
Boise, ID 837024535
📞 2084221018
Mailing address
Nbhc Nas Meridian, 1801 Fuller Road Bldg 367
Meridian, MS 393090001
📞 6016792210fax 6016793232

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    MS license #R854737AL license #1-112187 taxonomy 363LF0000X

Identifiers

TypeValueNotes
05 (MS) PENDING
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 44 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Boise in the last 180 days. See all →
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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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