P Praxis·MD
● Active Type 1 · Individual

Kelly M Nelson, DO

Family Medicine·Coeur D Alene, ID· NPI 1720293749 · Enumerated 2007 · 19 years on NPI
Nelson is 1 of 93 family medicine providers in Coeur D Alene and 1 of 1691 in Idaho.
NPI age
19 years
Enumerated 2007-05-12
Primary specialty
Family Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-04-26
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
1 state
14% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
566 W Prairie Ave
Coeur D Alene, ID 838157766
📞 2086255155fax 2086255156
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
📞 2086255085fax 2086255731

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 #O1165 taxonomy 207Q00000X

Practice context

Part of a multi-provider practice. 3 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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