P Praxis·MD
● Active Type 1 · Individual

David Nicholson, C.R.N.A.

Nurse Anesthetist, Certified Registered·Ketchum, ID· NPI 1912985755 · Enumerated 2006 · 20 years on NPI
Nicholson is 1 of 4 nurse anesthetist, certified registered providers in Ketchum and 1 of 575 in Idaho.
NPI age
20 years
Enumerated 2006-01-03
Primary specialty
Nurse Anesthetist, Certified Registered
Plus 3 subspecialties
Licensed in
ID, NM, CA
3 states
Status
Active
No deactivations on record
Last NPPES update
2026-03-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 575 active nurse anesthetist, certified registered providers in Idaho.

NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
3 states
Top 81% — 18% of peers are multi-state
Subspecialties
0
32% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
100 Hospital Dr
Ketchum, ID 83340
📞 2087278800fax 2087278124
Mailing address
7154 W State St Ste 119
Boise, ID 837147421
📞 5052800657

Specialties

  • Nurse Anesthetist, Certified Registered Primary
    (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
    ID license #59928NM license #CRNA00752CA license #NA95000124NM license #R48739 taxonomy 367500000X

Identifiers

TypeValueNotes
05 (NM) 18100244
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 29 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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