P Praxis·MD
● Active Type 1 · Individual

Mary Renee Walters, ARNP

Nurse Practitioner·Boise, ID· NPI 1205175577 · Enumerated 2013 · 13 years on NPI
Walters is 1 of 303 nurse practitioner providers in Boise and 1 of 1280 in Idaho.
NPI age
13 years
Enumerated 2013-02-06
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
KS, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-04-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
13 years
↑ 6 yr above median (7 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-02Enumerated in NPPES
2013 2026

Where they practice

Practice location
500 W Fort St
Boise, ID 83702
📞 2084221000
Mailing address
4120 W Miners Farm Dr
Boise, ID 837149314
📞 9132194401

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    KS license #53-46306-042ID license #53105 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 574 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner 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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