P Praxis·MD
● Active Type 1 · Individual

Lange Clancy, DO

Family Medicine·Boise, ID· NPI 1184126310 · Enumerated 2018 · 8 years on NPI
Clancy is 1 of 385 family medicine providers in Boise and 1 of 1691 in Idaho.
NPI age
8 years
Enumerated 2018-03-04
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
WI, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1691 active family medicine providers in Idaho.

NPI age
8 years
↓ 9 yr below median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-03Enumerated in NPPES
2018 2026

Where they practice

Practice location
777 N Raymond St
Boise, ID 837049251
📞 2085142500
Mailing address
777 N Raymond St
Boise, ID 837049251
📞 2085142500

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    WI license #81177-21ID license #MRO-1926 taxonomy 207Q00000X

Practice context

Part of a multi-provider practice. 161 other active providers share this practice address in NPPES.

Recently enumerated nearby: 13 new family medicine 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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