P Praxis·MD
● Active Type 1 · Individual

DR. Keri Lynn Jackson, M.D.

Family Medicine·Boise, ID· NPI 1679675391 · Enumerated 2006 · 19 years on NPI
Jackson is 1 of 385 family medicine providers in Boise and 1 of 1691 in Idaho.
NPI age
19 years
Enumerated 2006-09-02
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-10-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1691 active family medicine providers in Idaho.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Practice location
1521 W Alturas St
Boise, ID 837023419
📞 6503886286fax 2083434051
Mailing address
Po Box 139
Boise, ID 837010139
📞 2084515072

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    ID license #M-13124 taxonomy 207Q00000X
  • Emergency Medicine
    An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department....
    CA license #C50592 taxonomy 207P00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 13 new family medicine providers have been added in Boise 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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