P Praxis·MD
● Active Type 1 · Individual

Kyle Joseph Ronnau, ARNP

Nurse Practitioner·Meridian, ID· NPI 1326584640 · Enumerated 2017 · 9 years on NPI
Ronnau is 1 of 68 nurse practitioner providers in Meridian and 1 of 374 in Idaho.
NPI age
9 years
Enumerated 2017-01-10
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-02-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 374 active nurse practitioner providers in Idaho.

NPI age
9 years
↑ 5 yr above median (4 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
2
In the 34% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-01Enumerated in NPPES
2017 2026

Where they practice

Practice location
1672 S Woodsage Avenue, Suite #120
Meridian, ID 83642
📞 2085152273fax 2085152274
Mailing address
1672 S Woodsage Avenue, Suite #120
Meridian, ID 83642
📞 2085152273fax 2085252274

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1660 S Woodsage Ave
Meridian, ID 836427670
📞 2085152273fax 2085152274

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #55936 taxonomy 363LP0808X
  • Nurse Practitioner
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    ID license #55936 taxonomy 363L00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    ID license #RN-41181 taxonomy 390200000X

Identifiers

TypeValueNotes
01 (ID) 55936 IDAHO STATE BOARD OF NURSING

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 6 new nurse practitioner providers have been added in Meridian 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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