P Praxis·MD
● Active Type 1 · Individual

MRS. Jennifer Renee MacDermott, MS, RN, ACNS-BC

Nurse Practitioner·Boise, ID· NPI 1912219288 · Enumerated 2010 · 15 years on NPI
MacDermott is 1 of 24 nurse practitioner providers in Boise and 1 of 56 in Idaho.
NPI age
15 years
Enumerated 2010-07-02
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID, OH
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-08-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 56 active nurse practitioner providers in Idaho.

NPI age
15 years
↑ 2 yr above median (13 yr)
State licenses
2 states
Top 64% — 35% of peers are multi-state
Subspecialties
0
66% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-07Enumerated in NPPES
2010 2026

Where they practice

Practice location
190 E Bannock St
Boise, ID 837126241
📞 2083815015fax 2083811873
Mailing address
190 E Bannock St
Boise, ID 837126241

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #60641OH license #APRN.CNP.12917 taxonomy 363LA2200X

Identifiers

TypeValueNotes
05 (OH) 0194314
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 671 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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