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NPI · 1336734789 · NPPES-sourced

Audra Wilson Pac

ActivePhysician Assistant
NPI Number
1336734789
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(208) 327-5600
License ID · 1661274
Last Updated
About 18 months ago (Dec 2024)
Enumerated 2021-03-08
Primary practice addressID · 83704-8907
6140 W Curtisian Ave Ste 400Boise, ID 83704-8907
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About this NPIWhat this record shows.

NPI 1336734789 is registered to Audra Wilson Pac, a Physician Assistant practising at 6140 W Curtisian Ave Ste 400 in Boise, Idaho. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Audra Wilson Pac has been enumerated in the National Provider Identifier (NPI) registry since 2021.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2021-03-08
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Audra Wilson Pac accepts. To confirm in-network status with your specific health plan, contact Audra Wilson Pac directly at (208) 327-5600.

Frequently asked

Yes. NPI 1336734789 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (208) 327-5600.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Audra Wilson Pac is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated2024-12
Enumerated2021-03-08
StatusActive
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