P Praxis·MD
● Active Type 1 · Individual

MISS Chantelle E Bowman, PA-C

Physician Assistant·Fort Hall, ID· NPI 1063740082 · Enumerated 2009 · 16 years on NPI
Bowman is 1 of 2 physician assistant providers in Fort Hall and 1 of 1263 in Idaho.
NPI age
16 years
Enumerated 2009-12-02
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-03-29
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
16 years
↑ 7 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-12Enumerated in NPPES
2009 2026

Where they practice

Practice location
717 Mission Road, Community Health Nursing Program
Fort Hall, ID 83203
📞 2082385435fax 2082385440
Mailing address
Po Box 306
Fort Hall, ID 832030306
📞 2082342300fax 2082340026

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...
    ID license #PA-831 taxonomy 363A00000X

Identifiers

TypeValueNotes
01 (ID) PA831 IDAHO BOARD OF MEDICINE

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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