P Praxis·MD
● Active Type 1 · Individual

Taylor Vickers, PA-C

Physician Assistant·Nampa, ID· NPI 1164046702 · Enumerated 2020 · 5 years on NPI
Vickers is 1 of 96 physician assistant providers in Nampa and 1 of 1263 in Idaho.
NPI age
5 years
Enumerated 2020-05-29
Primary specialty
Physician Assistant
Plus 3 subspecialties
Licensed in
ID, TX
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-01-09
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
5 years
↓ 4 yr below median (9 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
2
In the 35% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-05Enumerated in NPPES
2020 2026

Where they practice

Practice location
9850 W St Lukes Dr
Nampa, ID 836877912
📞 2082057282fax 2082057591
Mailing address
190 E Bannock St
Boise, ID 837126241

Additional practice locations

1 secondary location on file with NPPES.

Location 2
6720 Bertner Ave
Houston, TX 770302604
📞 8323551000

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 #4161079TX license #PA13966 taxonomy 363A00000X
  • Emergency Medical Technician, Basic
    A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
    TX license #745200 taxonomy 146N00000X
  • Physician Assistant
    Definition to come...
    TX license #PA13966 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 56 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Nampa in the last 180 days. See all →
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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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