P Praxis·MD
● Active Type 1 · Individual

MRS. Heather Anne Bagley, N.P.

Nurse Practitioner·Idaho Falls, ID· NPI 1720312523 · Enumerated 2009 · 16 years on NPI
Bagley is 1 of 7 nurse practitioner providers in Idaho Falls and 1 of 58 in Idaho.
NPI age
16 years
Enumerated 2009-09-25
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-03-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 58 active nurse practitioner providers in Idaho.

NPI age
16 years
↑ 8 yr above median (8 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
29% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-09Enumerated in NPPES
2009 2026

Where they practice

Practice location
3430 Washington Pkwy, The Pediatric Center
Idaho Falls, ID 834047579
📞 2085233060
Mailing address
3430 Washington Pkwy
Idaho Falls, ID 834047579
📞 2085233060

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #20366A taxonomy 363LP0200X

Practice context

Part of a multi-provider practice. 12 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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