P Praxis·MD
● Active Type 1 · Individual

DR. Debra K McKinnon, DO

Emergency Medicine·Moscow, ID· NPI 1407903669 · Enumerated 2007 · 19 years on NPI
McKinnon is 1 of 2 emergency medicine providers in Moscow and 1 of 22 in Idaho.
NPI age
19 years
Enumerated 2007-01-03
Primary specialty
Emergency Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 22 active emergency medicine providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
36% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
700 S Main St
Moscow, ID 838433056
📞 2088824511fax 2088836580
Mailing address
Po Box 9899
Moscow, ID 838431800
📞 2088751567

Specialties

  • Emergency Medicine Primary
    An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
    ID license #O-126 taxonomy 207PE0004X

Identifiers

TypeValueNotes
01 (ID) 000010003680 REGENCE BS ID
01 (ID) B1717 BLUE CROSS ID
05 (WA) 8144412

Practice context

Part of a multi-provider practice. 58 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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