P Praxis·MD
● Active Type 1 · Individual

Kelli M Pease, PA

Physician Assistant·Boise, ID· NPI 1023443421 · Enumerated 2013 · 12 years on NPI
Pease is 1 of 363 physician assistant providers in Boise and 1 of 1263 in Idaho.
NPI age
12 years
Enumerated 2013-09-05
Primary specialty
Physician Assistant
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-07-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1263 active physician assistant providers in Idaho.

NPI age
12 years
↑ 3 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-09Enumerated in NPPES
2013 2026

Where they practice

Practice location
500 W Fort St, # 111
Boise, ID 83702
📞 2084221326
Mailing address
500 W Fort St, # 111
Boise, ID 83702
📞 2084221326

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 574 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new physician assistant providers have been added in Boise in the last 180 days. See all →
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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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