P Praxis·MD
● Active Type 1 · Individual

Marisue Susman, NP

Nurse Practitioner·Meridian, ID· NPI 1205124377 · Enumerated 2011 · 14 years on NPI
Susman is 1 of 8 nurse practitioner providers in Meridian and 1 of 58 in Idaho.
NPI age
14 years
Enumerated 2011-07-11
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-10-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 58 active nurse practitioner providers in Idaho.

NPI age
14 years
↑ 6 yr above median (8 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-07Enumerated in NPPES
2011 2026

Where they practice

Practice location
1620 S Celebration Ave
Meridian, ID 836422779
📞 2088841030fax 2088843058
Mailing address
190 E Bannock St
Boise, ID 837126241
📞 2083812222

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #NP-1488A taxonomy 363LP0200X

Practice context

Part of a multi-provider practice. 13 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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