P Praxis·MD
● Active Type 1 · Individual

Jacob Smith, CRNA

Nurse Anesthetist, Certified Registered·Coeur D Alene, ID· NPI 1336004654 · Enumerated 2025 · 0 years on NPI
Smith is 1 of 44 nurse anesthetist, certified registered providers in Coeur D Alene and 1 of 575 in Idaho.
NPI age
— years
Enumerated 2025-12-18
Primary specialty
Nurse Anesthetist, Certified Registered
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-01-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 575 active nurse anesthetist, certified registered providers in Idaho.

NPI age
0 years
↓ 15 yr below median (15 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-12Enumerated in NPPES
2025 2026

Where they practice

Practice location
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
📞 2086254000
Mailing address
101 W Ironwood Dr Ste D
Coeur D Alene, ID 838141409

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    ID license #9471892 taxonomy 367500000X

Practice context

Part of a multi-provider practice. 239 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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