P Praxis·MD
● Active Type 1 · Individual

MRS. Melanie Gilliland, FNP

Nurse Practitioner·Mountain Home, ID· NPI 1730585878 · Enumerated 2014 · 11 years on NPI
Gilliland is 1 of 9 nurse practitioner providers in Mountain Home and 1 of 1280 in Idaho.
NPI age
11 years
Enumerated 2014-11-18
Primary specialty
Nurse Practitioner
Licensed in
TN
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
11 years
↑ 4 yr above median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-11Enumerated in NPPES
2014 2026

Where they practice

Practice location
120 Desert Sage Way
Mountain Home, ID 836471038
📞 2085873988fax 2085873324
Mailing address
120 Desert Sage Way
Mountain Home, ID 836471038
📞 2086967203fax 2085873324

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TN license #19372 taxonomy 363LF0000X

Identifiers

TypeValueNotes
01 (TN) APN19372 STATE LICENSE

Practice context

Part of a multi-provider practice. 19 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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