P Praxis·MD
● Active Type 2 · Organization

Mmmedical Group Llc.

Nurse Practitioner·Boise, ID· NPI 1548890460 · Enumerated 2020 · 6 years on NPI
Mmmedical Group Llc. is 1 of 658 nurse practitioner organizations in Idaho.
NPI age
6 years
Enumerated 2020-01-20
Primary specialty
Nurse Practitioner
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Evaro
President
Last NPPES update
2020-09-23
Source: monthly bulk 2026-05

How this organization compares

Across 658 active nurse practitioner providers in Idaho.

NPI age
6 years
↓ 2 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0

NPI lifetime · 2020 → 2026

2020-01Enumerated in NPPES
2020 2026

Where they practice

Primary practice location
801 N Stilson Rd Ste 300
Boise, ID 837035145
📞 2083324540
Mailing address
Po Box 5328
Boise, ID 837050328
📞 2083330000

Additional practice locations

1 secondary location on file with NPPES.

Location 2
9858 W State St
Star, ID 836695210
📞 2082869471fax 8339180940

Authorized official

Randy Evaro
President
📞 2083330000

Individual providers at this organization

1 individual provider on file at this primary practice address.

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

Multi-provider organization. 1 individual provider on file at this primary address. Plus 1 secondary practice location.

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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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