P Praxis·MD
● Active Type 1 · Individual

Melissa MacLean

Nurse Practitioner·Mountain Home, ID· NPI 1922707686 · Enumerated 2023 · 3 years on NPI
MacLean is 1 of 9 nurse practitioner providers in Mountain Home and 1 of 1280 in Idaho.
NPI age
3 years
Enumerated 2023-03-01
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
3 years
↓ 4 yr below median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-03Enumerated in NPPES
2023 2026

Where they practice

Practice location
840 N 4th E
Mountain Home, ID 836472166
📞 2085871850fax 2085871851
Mailing address
190 E Bannock St
Boise, ID 837126241

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #75309 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 6 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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