P Praxis·MD
● Active Type 1 · Individual

Matt Jordan, NP-C

Nurse Practitioner·Boise, ID· NPI 1447617139 · Enumerated 2016 · 10 years on NPI
Jordan is 1 of 303 nurse practitioner providers in Boise and 1 of 1280 in Idaho.
NPI age
10 years
Enumerated 2016-01-26
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-08-06
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
10 years
↑ 3 yr above median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-01Enumerated in NPPES
2016 2026

Where they practice

Practice location
190 E Bannock St
Boise, ID 837126241
📞 2083853230fax 2083854088
Mailing address
190 E Bannock St
Boise, ID 837126241
📞 2083818752

Additional practice locations

1 secondary location on file with NPPES.

Location 2
13900 South Pleasant Valley Road
Kuna, ID 83634
📞 2083330037

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #NP-1677A taxonomy 363LF0000X

Practice context

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

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Boise in the last 180 days. See all →
Provyx · Custom healthcare lists

Need all 1280 Nurse Practitioner providers in Idaho?

Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.

Request a quote →

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.

Related