P Praxis·MD
● Active Type 1 · Individual

Joshua D Killpack, PA-C

Physician Assistant·Idaho Falls, ID· NPI 1164777181 · Enumerated 2012 · 13 years on NPI
Killpack is 1 of 105 physician assistant providers in Idaho Falls and 1 of 1263 in Idaho.
NPI age
13 years
Enumerated 2012-07-16
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-07-16
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
13 years
↑ 4 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-07Enumerated in NPPES
2012 2026

Where they practice

Practice location
2442 E 25th St
Idaho Falls, ID 834047549
📞 2085524909
Mailing address
2325 Coronado St
Idaho Falls, ID 834047407
📞 2085572700

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 #PA-985 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 3 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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