P Praxis·MD
● Active Type 1 · Individual

Carlie Mancini, NP

Nurse Practitioner·Boise, ID· NPI 1285081695 · Enumerated 2016 · 10 years on NPI
Mancini is 1 of 79 nurse practitioner providers in Boise and 1 of 374 in Idaho.
NPI age
10 years
Enumerated 2016-05-16
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
ID, OR
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-11-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 374 active nurse practitioner providers in Idaho.

NPI age
10 years
↑ 6 yr above median (4 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
1
In the 34% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-05Enumerated in NPPES
2016 2026

Where they practice

Practice location
1075 E Park Blvd
Boise, ID 837127722
📞 2083815970
Mailing address
1075 E Park Blvd
Boise, ID 837127722

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2301 Cove Ave
La Grande, OR 978503906
📞 5419628800

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #54425 taxonomy 363LP0808X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    ID license #N-39732OR license #10012906 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 33 other active providers share this practice address in NPPES.

Recently enumerated nearby: 4 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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