NPI age
13 years
Enumerated 2012-09-12
● Active
Type 1 · Individual
Myllissa M. Wyatt, NP
Wyatt is 1 of 6 nurse practitioner providers in Salmon and 1 of 1280 in Idaho.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-01-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1280 active nurse practitioner providers in Idaho.
NPI age
13 years
↑ 6 yr above median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
1
In the 27% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-09Enumerated in NPPES
2012
2026
Where they practice
Practice location
403 Riverfront Dr
Salmon, ID 834675162
Mailing address
403 Riverfront Dr
Salmon, ID 834675162
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse Practitioner(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | IDTPID011077 |
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.