P Praxis·MD
● Active Type 1 · Individual

Jacob L. Lufkin, C.R.N.A.

Nurse Anesthetist, Certified Registered·Montpelier, ID· NPI 1457741167 · Enumerated 2015 · 11 years on NPI
Lufkin is 1 of 3 nurse anesthetist, certified registered providers in Montpelier and 1 of 575 in Idaho.
NPI age
11 years
Enumerated 2015-02-02
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 1 subspecialty
Licensed in
ID, IN
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-03-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 575 active nurse anesthetist, certified registered providers in Idaho.

NPI age
11 years
↓ 4 yr below median (15 yr)
State licenses
2 states
Top 81% — 18% of peers are multi-state
Subspecialties
1
In the 32% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-02Enumerated in NPPES
2015 2026

Where they practice

Practice location
164 S 5th St
Montpelier, ID 832541597
📞 2088471630
Mailing address
123 Valley View Dr
Montpelier, ID 832541529
📞 2086045009

Additional practice locations

1 secondary location on file with NPPES.

Location 2
5734 Coventry Ln
Fort Wayne, IN 468047141
📞 2604367875 x226fax 2604329812

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    ID license #57248 taxonomy 367500000X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    IN license #28219682A taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 21 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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