P Praxis·MD
● Active Type 1 · Individual

Stacy I Summa, PA C

Physician Assistant·Nampa, ID· NPI 1295722478 · Enumerated 2005 · 20 years on NPI
Summa is 1 of 96 physician assistant providers in Nampa and 1 of 1263 in Idaho.
NPI age
20 years
Enumerated 2005-10-03
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-02-21
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
20 years
↑ 11 yr above median (9 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
1
In the 35% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-10Enumerated in NPPES
2005 2026

Where they practice

Practice location
4424 E Flamingo Ave Ste 110
Nampa, ID 836879291
📞 2083023200fax 2083023255
Mailing address
Po Box 190930
Boise, ID 837190930
📞 2083675170fax 2083675180

Additional practice locations

1 secondary location on file with NPPES.

Location 2
875 S Vanguard Way Ste 200
Meridian, ID 836428542
📞 2084633219fax 2084633055

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-1787CA license #PA16583 taxonomy 363A00000X
  • Physician Assistant
    Definition to come...
    ID license #PA-1787 taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Nampa in the last 180 days. See all →
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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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