NPI age
5 years
Enumerated 2020-12-08
● Active
Type 1 · Individual
Tea Hasanovic, PA-C
Hasanovic is 1 of 22 physician assistant providers in Fruitland and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-04-17
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1263 active physician assistant providers in Idaho.
NPI age
5 years
↓ 4 yr below median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-12Enumerated in NPPES
2020
2026
Where they practice
Practice location
2101 N Whitley Dr
Fruitland, ID 836192132
Mailing address
2101 N Whitley Dr
Fruitland, ID 836192132
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
1623 S Wells Ave
Meridian, ID 836425040
Location 3
11211 W Hercules Dr
Star, ID 836695074
Specialties
-
Physician Assistant PrimaryA 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...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 1263 Physician Assistant providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.