NPI age
18 years
Enumerated 2007-06-25
● Active
Type 1 · Individual
Suzanne Keele Edelman, ANP
Edelman is 1 of 1 nurse practitioner providers in Moore and 1 of 374 in Idaho.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 374 active nurse practitioner providers in Idaho.
NPI age
18 years
↑ 14 yr above median (4 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
1
In the 34% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-06Enumerated in NPPES
2007
2026
Where they practice
Practice location
4702 W Cherry Creek Road
Moore, ID 83255
Mailing address
421 Memorial Dr
Pocatello, ID 832014008
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse PractitionerDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | NP-325A | ANP LICENSE |
| 01 (ID) | N-10732 | RN LICENSE |
| 01 (ID) | ME1563990 | CONTROLLED SUBSTANCE REG. |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.