P Praxis·MD
● Active Type 1 · Individual

Kimberly Tenold, PA-C

Physician Assistant·Hailey, ID· NPI 1144240268 · Enumerated 2006 · 19 years on NPI
Tenold is 1 of 3 physician assistant providers in Hailey and 1 of 387 in Idaho.
NPI age
19 years
Enumerated 2006-07-20
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-05-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 387 active physician assistant providers in Idaho.

NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
2
In the 30% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
1450 Aviation Dr Ste 203
Hailey, ID 833338785
📞 2087278295
Mailing address
190 E Bannock St
Boise, ID 837126241

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #PA-2160 taxonomy 363AM0700X
  • Internal Medicine
    A 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,...
    NC license #102487 taxonomy 207R00000X
  • Physician Assistant
    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...
    NC license #102487 taxonomy 363A00000X

Practice context

Solo or small practice. No 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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