P Praxis·MD
● Active Type 1 · Individual

Autumn Rose Mason, AGACNP-BC

Nurse Practitioner·Boise, ID· NPI 1386305415 · Enumerated 2021 · 4 years on NPI
Mason is 1 of 26 nurse practitioner providers in Boise and 1 of 60 in Idaho.
NPI age
4 years
Enumerated 2021-12-30
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-02-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 60 active nurse practitioner providers in Idaho.

NPI age
4 years
≈ at median (5 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
1
In the 50% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-12Enumerated in NPPES
2021 2026

Where they practice

Practice location
190 E Bannock St
Boise, ID 837126241
📞 2083812222
Mailing address
190 E Bannock St
Boise, ID 837126241
📞 2083818748

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
9850 W St Lukes Dr
Nampa, ID 836877912
📞 2085052000
Location 3
520 S Eagle Rd
Meridian, ID 836426351
📞 2087065000

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #71748 taxonomy 363LA2100X
  • Registered Nurse
    Definition to come...
    ID license #45530 taxonomy 163WG0000X

Practice context

Part of a multi-provider practice. 671 other active providers share this practice address in NPPES.

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