P Praxis·MD
● Active Type 1 · Individual

Amy L Bacca, APRN AGCNS-BC

Clinical Nurse Specialist·Boise, ID· NPI 1144950353 · Enumerated 2022 · 3 years on NPI
Bacca is 1 of 4 clinical nurse specialist providers in Boise and 1 of 4 in Idaho.
NPI age
3 years
Enumerated 2022-06-13
Primary specialty
Clinical Nurse Specialist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-06-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4 active clinical nurse specialist providers in Idaho.

NPI age
3 years
↓ 6 yr below median (9 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
50% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-06Enumerated in NPPES
2022 2026

Where they practice

Practice location
720 E Park Blvd Ste 260
Boise, ID 837127765
📞 2083816879
Mailing address
4300 N Stratford Dr
Boise, ID 837043356
📞 2084477138

Specialties

  • Clinical Nurse Specialist Primary
    A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one...
    ID license #67616 taxonomy 364S00000X

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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