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NPI 1073601233
● Active Type 2 · Organization
Physicians Clinic Pllc
Family Medicine · Boise, ID · NPI 1073601233
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Enumerated 2006 · 19 years on NPI
Physicians Clinic Pllc is 1 of 1691 family medicine organizations in Idaho.
NPI age
19 years
Enumerated 2006-10-11
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Chastain
Office Manager
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 1691 active family medicine providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2006 → 2026
2006-10 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
4750 N Five Mile Rd
Boise, ID 837132715
📞 2083750500 fax 2083754310
Mailing address
4750 N Five Mile Rd
Boise, ID 837132715
📞 2083750500 fax 2083754310
Authorized official
Corinne K Chastain
Office Manager
📞 2083750500
Individual providers at this organization
17 individual providers on file at this primary practice address.
Kalin Amende , PHD, LPC, PCLC
Counselor
NPI 1225768203
Cheryl Amyx
Nurse Practitioner
NPI 1275545568
Dara Anderson , NP-C
Nurse Practitioner
NPI 1558921429
Holley Blitz , MA MFT
Marriage & Family Therapist
NPI 1255437950
Cali Bradberry , PA-C
Physician Assistant
NPI 1831473198
Kirk Campana , M.D.
General Practice
NPI 1205819950
Samantha Davison
Community Health Worker
NPI 1821982406
Alexandra Fleit
Counselor
NPI 1952113169
Stephanie Hadley , LCSW
Social Worker
NPI 1619158979
Kelli Hansen
Case Manager/Care Coordinator
NPI 1790368850
Mary Jeffress , FNP-C
Nurse Practitioner
NPI 1326003377
Terry Little , D.O.
Family Medicine
NPI 1487760740
Janae Moss
Marriage & Family Therapist
NPI 1750723961
Jose Pacheco , LICSW, MSW
Social Worker
NPI 1073088779
Christine Sheehy , LCPC
Counselor
NPI 1972715076
Cary Shelton , LCSW
Social Worker
NPI 1255494555
Charmaine Smith-Warden , BA, BS, MS
Counselor
NPI 1346719648
Specialties
Family Medicine
Primary
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
taxonomy 207Q00000X
Identifiers
Type Value Notes
01 (ID)
8D319
BLUE CROSS
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
17 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.