P Praxis·MD
● Active Type 1 · Individual

Jennifer Petrie, MD

Family Medicine·Emmett, ID· NPI 1891879094 · Enumerated 2006 · 19 years on NPI
Petrie is 1 of 19 family medicine providers in Emmett and 1 of 1691 in Idaho.
NPI age
19 years
Enumerated 2006-10-24
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
ID, MN
2 states
Status
Active
No deactivations on record
Last NPPES update
2016-02-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1691 active family medicine providers in Idaho.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
2001 E Quail Run Rd
Emmett, ID 836175059
📞 2083657131fax 2083654464
Mailing address
2001 E Quail Run Rd
Emmett, ID 836175059
📞 2083657131fax 2083654464

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    ID license #M7802MN license #101703 taxonomy 207Q00000X

Identifiers

TypeValueNotes
01 (MN) 136314 UCARE
01 (MN) HP51751 HEALTH PARTNERS
05 (ID) 8051964
01 (MN) 1043689 PREFERRED ONE
05 (MN) 317180900
05 (WI) 34623200
01 (MN) 01-20325 MEDICA CHOICE
01 (MN) 01-20325 MEDICA PRIMARY
05 (IA) 0591172
01 (ID) 20008330 PTAN
01 (MT) 2349340 ARAZ
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 2 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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