P Praxis·MD
● Active Type 1 · Individual

MR. Nicholas Freeman Bullock

Nurse Practitioner·Pocatello, ID· NPI 1508299348 · Enumerated 2013 · 12 years on NPI
Bullock is 1 of 79 nurse practitioner providers in Pocatello and 1 of 1280 in Idaho.
NPI age
12 years
Enumerated 2013-08-15
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-08-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
12 years
↑ 5 yr above median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
1
In the 27% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-08Enumerated in NPPES
2013 2026

Where they practice

Practice location
777 Hospital Way
Pocatello, ID 832015175
📞 2082391000
Mailing address
777 Hospital Way
Pocatello, ID 832015175
📞 2082391000

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #NP-1308A taxonomy 363LF0000X
  • Nurse Practitioner
    Definition to come...
    ID license #NP-1308A taxonomy 363LX0106X

Practice context

Part of a multi-provider practice. 144 other active providers share this practice address in NPPES.

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