P Praxis·MD
● Active Type 1 · Individual

Jill Reena Gustafson, CNM

Advanced Practice Midwife·Boise, ID· NPI 1992224166 · Enumerated 2017 · 8 years on NPI
Gustafson is 1 of 29 advanced practice midwife providers in Boise and 1 of 65 in Idaho.
NPI age
8 years
Enumerated 2017-09-19
Primary specialty
Advanced Practice Midwife
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-03-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 65 active advanced practice midwife providers in Idaho.

NPI age
8 years
≈ at median (9 yr)
State licenses
1 state
26% of peers hold multiple states
Subspecialties
1
In the 46% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-09Enumerated in NPPES
2017 2026

Where they practice

Practice location
4948 W Kootenai St Ste 100
Boise, ID 837052002
📞 2085100261fax 2082254243
Mailing address
4948 W Kootenai St Ste 100
Boise, ID 837052002
📞 2085100261fax 2082254243

Specialties

  • Advanced Practice Midwife Primary
    Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception...
    ID license #56670 taxonomy 367A00000X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    ID license #56670 taxonomy 163W00000X

Practice context

Part of a multi-provider practice. 2 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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