P Praxis·MD
● Active Type 1 · Individual

Richard Lee Mittelstedt, R.N.

Registered Nurse·Fort Hall, ID· NPI 1508920869 · Enumerated 2006 · 19 years on NPI
Mittelstedt is 1 of 5 registered nurse providers in Fort Hall and 1 of 354 in Idaho.
NPI age
19 years
Enumerated 2006-12-21
Primary specialty
Registered Nurse
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 354 active registered nurse providers in Idaho.

NPI age
19 years
↑ 16 yr above median (3 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
9% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-12Enumerated in NPPES
2006 2026

Where they practice

Practice location
717 Mission Rd
Fort Hall, ID 832030717
📞 2082385427fax 2082385427
Mailing address
717 Mission Road
Fort Hall, ID 83203
📞 2082385427fax 2082385427

Specialties

  • Registered Nurse Primary
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    ID license #N-32836 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 6 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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