P Praxis·MD
● Active Type 1 · Individual

Roberta J. Bostian, AGACNP

Nurse Practitioner·Idaho Falls, ID· NPI 1972275501 · Enumerated 2021 · 4 years on NPI
Bostian is 1 of 6 nurse practitioner providers in Idaho Falls and 1 of 60 in Idaho.
NPI age
4 years
Enumerated 2021-10-01
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
UT, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-09-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 60 active nurse practitioner providers in Idaho.

NPI age
4 years
≈ at median (5 yr)
State licenses
2 states
Top 71% — 28% of peers are multi-state
Subspecialties
0
50% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-10Enumerated in NPPES
2021 2026

Where they practice

Practice location
765 S Utah Ave
Idaho Falls, ID 834025093
📞 2085252600
Mailing address
2325 Coronado St
Idaho Falls, ID 834047407
📞 2085572700

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    UT license #12751401-4405ID license #68854 taxonomy 363LA2100X

Practice context

Part of a multi-provider practice. 7 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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