P Praxis·MD
● Active Type 1 · Individual

Jacob Wayda

Nurse Practitioner·Meridian, ID· NPI 1801657713 · Enumerated 2024 · 2 years on NPI
Wayda is 1 of 75 nurse practitioner providers in Meridian and 1 of 658 in Idaho.
NPI age
2 years
Enumerated 2024-01-17
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-03-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 658 active nurse practitioner providers in Idaho.

NPI age
2 years
↓ 6 yr below median (8 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-01Enumerated in NPPES
2024 2026

Where they practice

Practice location
1900 W Chinden Blvd
Meridian, ID 836466690
📞 2088092860fax 2088092861
Mailing address
Po Box 191050
Boise, ID 837191050
📞 2089556500fax 2089556501

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 #76016 taxonomy 363L00000X

Practice context

Part of a multi-provider practice. 7 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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