P Praxis·MD
● Active Type 1 · Individual

Jacob Nelson, DO

Pediatrics·Saint Anthony, ID· NPI 1144675679 · Enumerated 2016 · 10 years on NPI
Nelson is 1 of 1 pediatrics providers in Saint Anthony and 1 of 252 in Idaho.
NPI age
10 years
Enumerated 2016-05-03
Primary specialty
Pediatrics
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 252 active pediatrics providers in Idaho.

NPI age
10 years
↓ 8 yr below median (18 yr)
State licenses
1 state
27% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-05Enumerated in NPPES
2016 2026

Where they practice

Practice location
Po Box 18
Saint Anthony, ID 834450018
📞 2083564900fax 2086244112
Mailing address
Po Box 18
Saint Anthony, ID 834450018
📞 2083564900fax 2086244112

Additional practice locations

3 secondary locations on file with NPPES.

Location 2
335 E Main St Ste 1
Saint Anthony, ID 834451546
📞 2083564900fax 2086244112
Location 3
72 S 1st E Ste 101
Rexburg, ID 834401902
📞 2083564900fax 2083563724
Location 4
2454 N 25th E Ste 101
Idaho Falls, ID 83401
📞 2083564900fax 2086126118

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    ID license #O-1220 taxonomy 208000000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 252 Pediatrics providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related