P Praxis·MD
● Active Type 1 · Individual

MS. Susie Ellis, CPM, LM

Midwife·Boise, ID· NPI 1942620653 · Enumerated 2014 · 12 years on NPI
Ellis is 1 of 30 midwife providers in Boise and 1 of 138 in Idaho.
NPI age
12 years
Enumerated 2014-04-21
Primary specialty
Midwife
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-04-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 138 active midwife providers in Idaho.

NPI age
12 years
↑ 3 yr above median (8 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-04Enumerated in NPPES
2014 2026

Where they practice

Practice location
9540 W Dorsetshire Pl
Boise, ID 837042229
📞 2082840200
Mailing address
9540 W Dorsetshire Pl
Boise, ID 837042229
📞 2082840200

Specialties

  • Midwife Primary
    A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the...
    ID license #MID-54 taxonomy 176B00000X

Practice context

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

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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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