P Praxis·MD
● Active Type 1 · Individual

Kimereng Kipchumba Kipsuge, NP

Nurse Practitioner·Boise, ID· NPI 1205489978 · Enumerated 2019 · 6 years on NPI
Kipsuge is 1 of 26 nurse practitioner providers in Boise and 1 of 60 in Idaho.
NPI age
6 years
Enumerated 2019-07-22
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-06-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 60 active nurse practitioner providers in Idaho.

NPI age
6 years
≈ at median (5 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
0
50% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-07Enumerated in NPPES
2019 2026

Where they practice

Practice location
1883 Wildwood St Ste C
Boise, ID 837135146
📞 2089017006
Mailing address
1883 Wildwood St Ste C
Boise, ID 837135146
📞 2089017006fax 9495614801

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #62135 taxonomy 363LA2100X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has 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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