P Praxis·MD
● Active Type 1 · Individual

Breeann Marie Petrie, PA-C

Physician Assistant·Challis, ID· NPI 1235430059 · Enumerated 2010 · 15 years on NPI
Petrie is 1 of 5 physician assistant providers in Challis and 1 of 1263 in Idaho.
NPI age
15 years
Enumerated 2010-11-10
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-03-21
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
15 years
↑ 6 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-11Enumerated in NPPES
2010 2026

Where they practice

Practice location
431 E. Main St. #994
Challis, ID 832262713
📞 2088331313fax 8338391195
Mailing address
431 E. Main St., #994
Challis, ID 83226
📞 2088331313fax 8338391195

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 #PA875 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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