P Praxis·MD
● Active Type 1 · Individual

Jennifer Marie Beaulieu

Nurse Practitioner·Payette, ID· NPI 1477258341 · Enumerated 2023 · 3 years on NPI
Beaulieu is 1 of 2 nurse practitioner providers in Payette and 1 of 374 in Idaho.
NPI age
3 years
Enumerated 2023-03-31
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID, OR
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-01-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 374 active nurse practitioner providers in Idaho.

NPI age
3 years
≈ at median (4 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-03Enumerated in NPPES
2023 2026

Where they practice

Practice location
1441 Ne 10th Ave
Payette, ID 836615420
📞 2086429376fax 2086429598
Mailing address
1441 Ne 10th Ave
Payette, ID 836615420
📞 2086429376

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #75717OR license #10007694 taxonomy 363LP0808X

Identifiers

TypeValueNotes
05 (OR) 500819945
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 23 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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