P Praxis·MD
● Active Type 1 · Individual

Jacob Craig Stoddard, APRN-CNP

Nurse Practitioner·Idaho Falls, ID· NPI 1174464929 · Enumerated 2026 · 0 years on NPI
Stoddard is 1 of 7 nurse practitioner providers in Idaho Falls and 1 of 79 in Idaho.
NPI age
— years
Enumerated 2026-04-04
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-04-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 79 active nurse practitioner providers in Idaho.

NPI age
0 years
↓ 7 yr below median (7 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
39% of peers hold subspecialties

NPI lifetime · 2026 → 2026

2026-04Enumerated in NPPES
2026 2026

Where they practice

Practice location
2455 Blue Camas Way
Idaho Falls, ID 834023849
📞 2082428036
Mailing address
2455 Blue Camas Way
Idaho Falls, ID 834023849
📞 2082428036

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #5381502 taxonomy 363LP2300X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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