P Praxis·MD
● Active Type 1 · Individual

Jacob Vial, PA-C

Physician Assistant·Rexburg, ID· NPI 1275253643 · Enumerated 2022 · 3 years on NPI
Vial is 1 of 23 physician assistant providers in Rexburg and 1 of 1263 in Idaho.
NPI age
3 years
Enumerated 2022-08-29
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-09-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1263 active physician assistant providers in Idaho.

NPI age
3 years
↓ 6 yr below median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-08Enumerated in NPPES
2022 2026

Where they practice

Practice location
525 S Center St
Rexburg, ID 834600004
📞 4065951515
Mailing address
651 S 2400 W Unit 11102
Rexburg, ID 834405484
📞 4065951515

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-2557 taxonomy 363A00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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