P Praxis·MD
● Active Type 1 · Individual

Samantha De Bruyn Kops, APRN, FNP-C

Nurse Practitioner·Idaho Falls, ID· NPI 1730744947 · Enumerated 2019 · 7 years on NPI
De Bruyn Kops is 1 of 105 nurse practitioner providers in Idaho Falls and 1 of 1280 in Idaho.
NPI age
7 years
Enumerated 2019-05-02
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-02-05
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
7 years
≈ at median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-05Enumerated in NPPES
2019 2026

Where they practice

Practice location
2065 E 17th St Ste C
Idaho Falls, ID 834048042
📞 2085226106
Mailing address
6405 S 3000 E Ste 201
Salt Lake City, UT 841216990
📞 8012663113

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3360 Washington Pkwy Ste 2
Idaho Falls, ID 834048333
📞 2089327024

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #61296 taxonomy 363LF0000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new nurse practitioner providers have been added in Idaho Falls in the last 180 days. See all →
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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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