P Praxis·MD
● Active Type 1 · Individual

Deo M Peppersack, NP

Nurse Practitioner·Nampa, ID· NPI 1770538811 · Enumerated 2006 · 20 years on NPI
Peppersack is 1 of 59 nurse practitioner providers in Nampa and 1 of 1280 in Idaho.
NPI age
20 years
Enumerated 2006-05-24
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-03-18
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
20 years
↑ 13 yr above median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
2
In the 27% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
217 W Georgia Ave Ste 120
Nampa, ID 836866812
📞 2084981760fax 2084981761
Mailing address
217 W. Georgia Ave. Ste 120
Nampa, ID 836862856
📞 2084981760fax 2084981769

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #NP656A taxonomy 363LF0000X
  • Nurse Practitioner
    Definition to come...
    ID license #NP656A taxonomy 363LP0808X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    ID license #NP656A taxonomy 163W00000X

Identifiers

TypeValueNotes
05 (ID) 8083269
05 (ID) 806976700
01 (ID) NP191 BLUE CROSS

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Nampa 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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