P Praxis·MD
● Active Type 1 · Individual

Connie Marie Wilson, FNP

Nurse Practitioner·Athol, ID· NPI 1619341260 · Enumerated 2015 · 10 years on NPI
Wilson is 1 of 1 nurse practitioner providers in Athol and 1 of 658 in Idaho.
NPI age
10 years
Enumerated 2015-11-19
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-25
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 658 active nurse practitioner providers in Idaho.

NPI age
10 years
↑ 2 yr above median (8 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-11Enumerated in NPPES
2015 2026

Where they practice

Practice location
7173 E Super 1 Loop Ste B
Athol, ID 838017109
📞 2085619901fax 2085619968
Mailing address
1593 E Polston Ave
Post Falls, ID 838545326
📞 2082622498fax 2082627461

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...
    ID license #NP-1655A taxonomy 363L00000X

Identifiers

TypeValueNotes
05 (ID) 1619341260

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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