P Praxis·MD
● Active Type 1 · Individual

DR. Renee Gault, DNP, PMHNP-BC

Nurse Practitioner·Pocatello, ID· NPI 1912489980 · Enumerated 2018 · 7 years on NPI
Gault is 1 of 17 nurse practitioner providers in Pocatello and 1 of 374 in Idaho.
NPI age
7 years
Enumerated 2018-09-05
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-11-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 374 active nurse practitioner providers in Idaho.

NPI age
7 years
↑ 3 yr above median (4 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-09Enumerated in NPPES
2018 2026

Where they practice

Practice location
444 Hospital Way Ste 477
Pocatello, ID 832012744
📞 2082337832fax 2082337835
Mailing address
444 Hospital Way Ste 477
Pocatello, ID 832012744
📞 2082337832fax 2082337835

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #59582 taxonomy 363LP0808X

Practice context

Part of a multi-provider practice. 17 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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