NPI age
19 years
Enumerated 2006-09-01
● Active
Type 1 · Individual
Casi McPherson Wyatt, DO
Wyatt is 1 of 19 internal medicine providers in Boise and 1 of 32 in Idaho.
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
ID, IA
2 states
Status
Active
No deactivations on record
Last NPPES update
2009-06-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 32 active internal medicine providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 53% — 46% of peers are multi-state
Subspecialties
1
In the 53% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Practice location
125 E Idaho St, Suite 203
Boise, ID 837126212
Mailing address
125 E Idaho St, Suite 203
Boise, ID 837126212
Specialties
-
Internal Medicine PrimaryAn internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients...
-
Internal MedicineA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (IA) | 26705 | WELLMARK BCBS |
| 05 (IA) | 0731364 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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- 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.