P Praxis·MD
● Active Type 1 · Individual

MR. Kade Douglas Anderson, P.A.

Clinical Nurse Specialist·Idaho Falls, ID· NPI 1699043315 · Enumerated 2011 · 14 years on NPI
Anderson is 1 of 2 clinical nurse specialist providers in Idaho Falls and 1 of 16 in Idaho.
NPI age
14 years
Enumerated 2011-12-08
Primary specialty
Clinical Nurse Specialist
Plus 4 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-02-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 16 active clinical nurse specialist providers in Idaho.

NPI age
14 years
↓ 3 yr below median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
4
In the 62% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-12Enumerated in NPPES
2011 2026

Where they practice

Practice location
2001 S Woodruff Ave Ste 9
Idaho Falls, ID 834046371
📞 2084193002fax 2086565652
Mailing address
2001 S Woodruff Ave Ste 9
Idaho Falls, ID 834046371
📞 2084193002fax 2086565652

Specialties

  • Clinical Nurse Specialist Primary
    Definition to come...
    ID license #PA-950 taxonomy 364SP0808X
  • Clinical Nurse Specialist
    Definition to come...
    ID license #PA-950 taxonomy 364SP0807X
  • Clinical Nurse Specialist
    Definition to come...
    ID license #PA-950 taxonomy 364SP0809X
  • Physician Assistant
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    taxonomy 363A00000X
  • Physician Assistant
    Definition to come...
    ID license #PA-950 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 15 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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