P Praxis·MD
● Active Type 1 · Individual

Jerilyn R Bodey, FNP-C

Nurse Practitioner·Lewiston, ID· NPI 1932670866 · Enumerated 2018 · 7 years on NPI
Bodey is 1 of 38 nurse practitioner providers in Lewiston and 1 of 1280 in Idaho.
NPI age
7 years
Enumerated 2018-12-17
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-02-19
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
7 years
≈ at median (7 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-12Enumerated in NPPES
2018 2026

Where they practice

Practice location
415 6th St
Lewiston, ID 83501
📞 5127303056fax 8887301925
Mailing address
7500 Rialto Blvd Ste 1-140
Austin, TX 787358534
📞 5127303056fax 8887301925

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
538 E Clark St
Paul, ID 833475503
📞 2086705529
Location 3
538 E Clark St
Paul, ID 833475503
📞 2086705529

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #60187 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 119 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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