P Praxis·MD
● Active Type 1 · Individual

Shauna Rankin

Nurse Practitioner·Wilder, ID· NPI 1740928837 · Enumerated 2022 · 3 years on NPI
Rankin is 1 of 4 nurse practitioner providers in Wilder and 1 of 1280 in Idaho.
NPI age
3 years
Enumerated 2022-05-26
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-05-26
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
3 years
↓ 4 yr below median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-05Enumerated in NPPES
2022 2026

Where they practice

Practice location
27591 Petolla Rd
Wilder, ID 836765740
📞 2083758427
Mailing address
27591 Petolla Rd
Wilder, ID 836765740
📞 2083758427

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #72982 taxonomy 363LF0000X

Practice context

Solo or small practice. No 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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