P Praxis·MD
● Active Type 1 · Individual

Jose Manuel Celedon, NP

Nurse Practitioner·Nampa, ID· NPI 1326520719 · Enumerated 2018 · 7 years on NPI
Celedon is 1 of 3 nurse practitioner providers in Nampa and 1 of 39 in Idaho.
NPI age
7 years
Enumerated 2018-08-31
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 39 active nurse practitioner providers in Idaho.

NPI age
7 years
↑ 2 yr above median (5 yr)
State licenses
1 state
17% of peers hold multiple states
Subspecialties
0
48% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-08Enumerated in NPPES
2018 2026

Where they practice

Practice location
508 E Florida Ave
Nampa, ID 836865823
📞 2084630118
Mailing address
2226 E Shady Glade Dr
Meridian, ID 836428245
📞 2089896483

Additional practice locations

1 secondary location on file with NPPES.

Location 2
500 W Fort St, # 111
Boise, ID 83702
📞 2084221000fax 2084221319

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #59029 taxonomy 363LG0600X

Practice context

Part of a multi-provider practice. 6 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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