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 →
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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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