P Praxis·MD
● Active Type 1 · Individual

DR. Mary Alice Elizabeth Jaeger, MD

Family Medicine·Coeur D Alene, ID· NPI 1477596534 · Enumerated 2006 · 19 years on NPI
Jaeger is 1 of 2 family medicine providers in Coeur D Alene and 1 of 6 in Idaho.
NPI age
19 years
Enumerated 2006-06-14
Primary specialty
Family Medicine
Plus 2 subspecialties
Licensed in
ID, OK, WA
3 states
Status
Active
No deactivations on record
Last NPPES update
2021-01-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 6 active family medicine providers in Idaho.

NPI age
19 years
↑ 4 yr above median (14 yr)
State licenses
3 states
Top 50% — 50% of peers are multi-state
Subspecialties
0
66% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
1717 Lincoln Way Ste 203
Coeur D Alene, ID 83814
📞 2086673341fax 2086648973
Mailing address
8607 W Driftwood Dr
Coeur D Alene, ID 838149603
📞 2086997644

Additional practice locations

1 secondary location on file with NPPES.

Location 2
12410 E Sinto Ave Ste D
Spokane Valley, WA 992162199
📞 5098921313fax 5098921515

Specialties

  • Family Medicine Primary
    A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian...
    ID license #M6380OK license #34507WA license #60104935 taxonomy 207QS1201X

Identifiers

TypeValueNotes
05 (ID) 002728300
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 6 Family Medicine providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

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