P Praxis·MD
● Active Type 1 · Individual

Tracy Gibson, CNM

Advanced Practice Midwife·Pocatello, ID· NPI 1700896685 · Enumerated 2006 · 19 years on NPI
Gibson is 1 of 4 advanced practice midwife providers in Pocatello and 1 of 65 in Idaho.
NPI age
19 years
Enumerated 2006-08-09
Primary specialty
Advanced Practice Midwife
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-03-03
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 65 active advanced practice midwife providers in Idaho.

NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
26% of peers hold multiple states
Subspecialties
0
46% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
500 S 11th Ave, Suite 402
Pocatello, ID 832014835
📞 2082393412fax 2082393441
Mailing address
500 S 11th Ave, Suite 402
Pocatello, ID 832014835
📞 2082393412fax 2082393441

Specialties

  • Advanced Practice Midwife Primary
    Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception...
    ID license #CNM33 taxonomy 367A00000X

Identifiers

TypeValueNotes
05 (ID) 805053800
01 (ID) NPYT9 BLUE CROSS OF IDAHO
01 (ID) P00175232 RAILROAD MEDICARE
01 (ID) 000010146389 REGENCE BLUE SHIELD OF ID

Practice context

Part of a multi-provider practice. 36 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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