P Praxis·MD
● Active Type 1 · Individual

MS. Monica Hermine McCullough, CPNP

Nurse Practitioner·Meridian, ID· NPI 1376700799 · Enumerated 2008 · 18 years on NPI
McCullough is 1 of 8 nurse practitioner providers in Meridian and 1 of 58 in Idaho.
NPI age
18 years
Enumerated 2008-05-22
Primary specialty
Nurse Practitioner
Licensed in
PA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-01-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 58 active nurse practitioner providers in Idaho.

NPI age
18 years
↑ 10 yr above median (8 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-05Enumerated in NPPES
2008 2026

Where they practice

Practice location
3525 E Louise Dr Ste 250
Meridian, ID 836426303
📞 2083817312
Mailing address
3405 Civic Center Blvd
Philadelphia, PA 191044399
📞 2674265421fax 2155906804

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    PA license #TP004475D taxonomy 363LP0200X

Practice context

Part of a multi-provider practice. 5 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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