P Praxis·MD
● Active Type 1 · Individual

Madison Russell

Nurse Practitioner·Pocatello, ID· NPI 1376480939 · Enumerated 2026 · 0 years on NPI
Russell is 1 of 79 nurse practitioner providers in Pocatello and 1 of 1280 in Idaho.
NPI age
— years
Enumerated 2026-05-01
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-05-01
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
0 years
↓ 7 yr below median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2026 → 2026

2026-05Enumerated in NPPES
2026 2026

Where they practice

Practice location
777 Hospital Way
Pocatello, ID 832015175
📞 2082391801
Mailing address
231 Ravine Dr
Pocatello, ID 832044026
📞 3606709047

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #F04260453 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 144 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Pocatello 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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