P Praxis·MD
● Active Type 1 · Individual

Jennifer Therese Anderson

Nurse Practitioner·Lewiston, ID· NPI 1790400992 · Enumerated 2022 · 3 years on NPI
Anderson is 1 of 28 nurse practitioner providers in Lewiston and 1 of 658 in Idaho.
NPI age
3 years
Enumerated 2022-10-10
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-10-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 658 active nurse practitioner providers in Idaho.

NPI age
3 years
↓ 5 yr below median (8 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-10Enumerated in NPPES
2022 2026

Where they practice

Practice location
1203 Idaho St
Lewiston, ID 835011940
📞 5094448200
Mailing address
611 N Iron Bridge Way
Spokane, WA 992024932
📞 5094448200

Specialties

  • Nurse Practitioner Primary
    (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...
    ID license #72977WA license #RN00124469 taxonomy 363L00000X

Practice context

Part of a multi-provider practice. 30 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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