P Praxis·MD
● Active Type 1 · Individual

Lisa M Miller, NP

Nurse Practitioner·Pocatello, ID· NPI 1356094148 · Enumerated 2022 · 4 years on NPI
Miller is 1 of 17 nurse practitioner providers in Pocatello and 1 of 374 in Idaho.
NPI age
4 years
Enumerated 2022-02-01
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-11-20
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
4 years
≈ at median (4 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-02Enumerated in NPPES
2022 2026

Where they practice

Practice location
1950 E Clark St Ste 110
Pocatello, ID 832013315
📞 2082525021fax 2082058040
Mailing address
1950 E Clark St Ste 110
Pocatello, ID 832013315
📞 2082525021fax 2082058040

Additional practice locations

1 secondary location on file with NPPES.

Location 2
941 Castle St
Pocatello, ID 832023010
📞 2084062378

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #70995 taxonomy 363LP0808X

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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