NPI age
3 years
Enumerated 2022-06-10
● Active
Type 1 · Individual
Carly Sienna Wilson, PA
Wilson is 1 of 91 physician assistant providers in Boise and 1 of 387 in Idaho.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 387 active physician assistant providers in Idaho.
NPI age
3 years
↓ 12 yr below median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties
NPI lifetime · 2022 → 2026
2022-06Enumerated in NPPES
2022
2026
Where they practice
Practice location
100 E Idaho St Ste 302
Boise, ID 837126269
Mailing address
190 E Bannock St
Boise, ID 837126241
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
921 S 8th Ave Stop 8253
Pocatello, ID 832092205
Location 3
300 S 23rd St
Boise, ID 837029100
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Physician AssistantA 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...
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 Boise in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.