P Praxis·MD
● Active Type 1 · Individual

DR. Melody Ann Weaver, PHD FNP

Nurse Practitioner·Pocatello, ID· NPI 1922204551 · Enumerated 2007 · 18 years on NPI
Weaver is 1 of 79 nurse practitioner providers in Pocatello and 1 of 1280 in Idaho.
NPI age
18 years
Enumerated 2007-06-21
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-06-19
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
18 years
↑ 11 yr above median (7 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-06Enumerated in NPPES
2007 2026

Where they practice

Practice location
921 S 8th Ave Stop 8101
Pocatello, ID 83209
📞 2082825994fax 2082824476
Mailing address
921 S 8th Ave Stop 8101
Pocatello, ID 832090001
📞 2082825994fax 2082824476

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #55023CA license #NP10764 taxonomy 363LF0000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Pocatello in the last 180 days. See all →
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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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