P Praxis·MD
● Active Type 1 · Individual

Kevin Patrick Peters, PA-C

Physician Assistant·Coeur D Alene, ID· NPI 1326525304 · Enumerated 2018 · 7 years on NPI
Peters is 1 of 72 physician assistant providers in Coeur D Alene and 1 of 1263 in Idaho.
NPI age
7 years
Enumerated 2018-07-23
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
IL, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-22
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
7 years
↓ 2 yr below 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 · 2018 → 2026

2018-07Enumerated in NPPES
2018 2026

Where they practice

Practice location
2003 Kootenai Health Way Ste 300
Coeur D Alene, ID 838146051
📞 2086255081
Mailing address
4309 W Medical Center Dr Ste A200
McHenry, IL 600508437
📞 8157598070fax 8157594931

Additional practice locations

1 secondary location on file with NPPES.

Location 2
4309 W Medical Center Dr Ste A200
McHenry, IL 600508437
📞 8157598070fax 8157594931

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...
    IL license #085006652 taxonomy 363A00000X
  • Physician Assistant
    Definition to come...
    ID license #PA-2280 taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 6 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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