P Praxis·MD
● Active Type 1 · Individual

Kailyn Wiersma

Pediatrics·Meridian, ID· NPI 1508393976 · Enumerated 2017 · 9 years on NPI
Wiersma is 1 of 33 pediatrics providers in Meridian and 1 of 252 in Idaho.
NPI age
9 years
Enumerated 2017-05-17
Primary specialty
Pediatrics
Plus 2 subspecialties
Licensed in
ID, MI
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-04-14
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 252 active pediatrics providers in Idaho.

NPI age
9 years
↓ 9 yr below median (18 yr)
State licenses
2 states
Top 73% — 27% of peers are multi-state
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-05Enumerated in NPPES
2017 2026

Where they practice

Practice location
1620 S Celebration Ave
Meridian, ID 836422779
📞 2088841030
Mailing address
190 E Bannock St
Boise, ID 837126241

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
1500 E Medical Center Dr Spc 5718
Ann Arbor, MI 481095718
📞 7347635589fax 7347634208
Location 3
200 Arnet St
Ypsilanti, MI 481985753
📞 7344847288

Specialties

  • Pediatrics Primary
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    ID license #M-16194MI license #4301501833MI license #4301112092 taxonomy 208000000X

Practice context

Part of a multi-provider practice. 13 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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