NPI age
7 years
Enumerated 2019-01-22
● Active Type 2 · Organization
Sterling Provider Group
Sterling Provider Group is 1 of 41 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bunnage
Provider/owner
Last NPPES update
2024-07-25
Source: monthly bulk 2026-05
How this organization compares
Across 41 active clinic/center providers in Idaho.
NPI age
7 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 48% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-01Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
740 S Woodruff Ave
Idaho Falls, ID 834015285
Mailing address
740 S Woodruff Ave
Idaho Falls, ID 834015285
Authorized official
Corbin Bunnage, PA-C
Provider/owner
📞 2085429111
Individual providers at this organization
14 individual providers on file at this primary practice address.
- Ashley Baker, PA Physician Assistant NPI 1891048633
- Michael Barbo, PA Physician Assistant NPI 1457451486
- Ruth Beck, PA-C Physician Assistant NPI 1689749616
- Laurren Bennett, PA-C Physician Assistant NPI 1104419431
- Taylor Bird, PA-C Physician Assistant NPI 1356167910
- Joshua Black, PA-C Physician Assistant NPI 1922714104
- Corbin Bunnage, PA-C Physician Assistant NPI 1447325485
- William Eder, M.D. General Practice NPI 1275696734
- Kelsey Hackett, APRN, CNP Nurse Practitioner NPI 1336715895
- Craig Kantack, PA-C Physician Assistant NPI 1699052357
- Boyd Larson, PA-C Physician Assistant NPI 1245310846
- Zachary Lovell, DC Chiropractor NPI 1013557511
- Sheila Moss, FNP-C Nurse Practitioner NPI 1538322060
- Jeremy Rindlisbacher, PA-C Physician Assistant NPI 1063851889
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
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Clinic/CenterDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 13D0989496 | CLIA |
Practice context
Multi-provider organization. 14 individual providers on file at this primary address.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.