P Praxis·MD
● Active Type 1 · Individual

Jeffrey C Anderson, NP

Nurse Practitioner·Rexburg, ID· NPI 1497197891 · Enumerated 2013 · 12 years on NPI
Anderson is 1 of 13 nurse practitioner providers in Rexburg and 1 of 374 in Idaho.
NPI age
12 years
Enumerated 2013-07-25
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 374 active nurse practitioner providers in Idaho.

NPI age
12 years
↑ 8 yr above median (4 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-07Enumerated in NPPES
2013 2026

Where they practice

Practice location
1069 Summers Dr Ste B
Rexburg, ID 834405335
📞 2086079816fax 2085497883
Mailing address
1069 Summers Dr Ste B
Rexburg, ID 834405335
📞 2086079816fax 2085497883

Additional practice locations

1 secondary location on file with NPPES.

Location 2
808 N 5th Ave
Sequim, WA 983823045
📞 3606835900

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #NP-1314A taxonomy 363LP0808X

Identifiers

TypeValueNotes
05 (WA) 2283927

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Rexburg 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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