P Praxis·MD
● Active Type 1 · Individual

Mykel Marie Jess

Nurse Practitioner·Caldwell, ID· NPI 1275175614 · Enumerated 2019 · 6 years on NPI
Jess is 1 of 2 nurse practitioner providers in Caldwell and 1 of 39 in Idaho.
NPI age
6 years
Enumerated 2019-10-16
Primary specialty
Nurse Practitioner
Licensed in
CT
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-11-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 39 active nurse practitioner providers in Idaho.

NPI age
6 years
≈ at median (5 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
0
48% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-10Enumerated in NPPES
2019 2026

Where they practice

Practice location
1825 S Kimball Ave
Caldwell, ID 836054828
📞 2084553535fax 2084555190
Mailing address
633 N 4th St
Boise, ID 837024510
📞 2083429800fax 2083424223

Additional practice locations

1 secondary location on file with NPPES.

Location 2
633 N 4th St
Boise, ID 837024510
📞 2083429800fax 2083424223

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    CT license #9236 taxonomy 363LG0600X

Practice context

Part of a multi-provider practice. 2 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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