P Praxis·MD
● Active Type 1 · Individual

Mary Meacham, NP

Nurse Practitioner·Boise, ID· NPI 1265207534 · Enumerated 2023 · 2 years on NPI
Meacham is 1 of 22 nurse practitioner providers in Boise and 1 of 79 in Idaho.
NPI age
2 years
Enumerated 2023-11-16
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-01-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 79 active nurse practitioner providers in Idaho.

NPI age
2 years
↓ 5 yr below median (7 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
39% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-11Enumerated in NPPES
2023 2026

Where they practice

Practice location
10255 W Overland Rd
Boise, ID 837091430
📞 2083025600fax 2083025655
Mailing address
Po Box 190930
Boise, ID 837190930
📞 2083675170fax 2083675180

Additional practice locations

1 secondary location on file with NPPES.

Location 2
8971 W Overland Rd
Boise, ID 837091651
📞 2083784288fax 2083784297

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #60321 taxonomy 363LP2300X

Practice context

Part of a multi-provider practice. 10 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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