P Praxis·MD
● Active Type 2 · Organization

Idaho Advanced Medical Care Llc

Nurse Practitioner·Boise, ID· NPI 1487307468 · Enumerated 2022 · 4 years on NPI
Idaho Advanced Medical Care Llc is 1 of 658 nurse practitioner organizations in Idaho.
NPI age
4 years
Enumerated 2022-01-31
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cooper
Owner
Last NPPES update
2022-03-21
Source: monthly bulk 2026-05

How this organization compares

Across 658 active nurse practitioner providers in Idaho.

NPI age
4 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2022 → 2026

2022-01Enumerated in NPPES
2022 2026

Where they practice

Primary practice location
13150 W Persimmon Ln
Boise, ID 837131986
📞 8189154545
Mailing address
13150 W Persimmon Ln
Boise, ID 837131986

Authorized official

David Cooper
Owner
📞 8189154545

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    taxonomy 363L00000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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