P Praxis·MD
● Active Type 1 · Individual

Vincent Fibelstad, PA

Physician Assistant·Lewiston, ID· NPI 1184762825 · Enumerated 2007 · 19 years on NPI
Fibelstad is 1 of 24 physician assistant providers in Lewiston and 1 of 1263 in Idaho.
NPI age
19 years
Enumerated 2007-02-02
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
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
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Practice location
415 6th St
Lewiston, ID 835012431
📞 2087432511fax 2087995554
Mailing address
415 6th St
Lewiston, ID 835012431
📞 2087432511fax 2087995554

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-02 taxonomy 363A00000X

Identifiers

TypeValueNotes
01 (ID) HBNA1 IDAHO BLUE CROSS
01 (ID) 10017690 REGENCE OF IDAHO
05 (WA) 8118705
01 (ID) 10017689 REGENCE OF ID URGENT CARE

Practice context

Part of a multi-provider practice. 119 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Lewiston in the last 180 days. See all →
Provyx · Custom healthcare lists

Need all 1263 Physician Assistant providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related