P Praxis·MD
● Active Type 1 · Individual

Nicole W Pelly

Anesthesiology·Coeur D Alene, ID· NPI 1972684223 · Enumerated 2006 · 19 years on NPI
Pelly is 1 of 1 anesthesiology providers in Coeur D Alene and 1 of 1 in Idaho.
NPI age
19 years
Enumerated 2006-10-17
Primary specialty
Anesthesiology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-10-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1 active anesthesiology providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
0% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
📞 2086255085fax 2086255731
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 838146051
📞 2086254000

Additional practice locations

1 secondary location on file with NPPES.

Location 2
700 W Ironwood Dr Ste 130
Coeur D Alene, ID 838144404
📞 2086256960

Specialties

  • Anesthesiology Primary
    An anesthesiologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize...
    ID license #M-13281 taxonomy 207LH0002X

Practice context

Part of a multi-provider practice. 239 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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