P Praxis·MD
● Active Type 1 · Individual

Mikayla Dawn Miller, PA-C

Physician Assistant·Fruitland, ID· NPI 1336821891 · Enumerated 2023 · 2 years on NPI
Miller is 1 of 22 physician assistant providers in Fruitland and 1 of 1263 in Idaho.
NPI age
2 years
Enumerated 2023-08-03
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-02-06
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
2 years
↓ 7 yr below median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-08Enumerated in NPPES
2023 2026

Where they practice

Practice location
910 Nw 16th St Ste 205
Fruitland, ID 836192265
📞 2084528100fax 2084528111
Mailing address
Po Box 190930
Boise, ID 837190930
📞 2083675170fax 2083675180

Additional practice locations

1 secondary location on file with NPPES.

Location 2
510 N 2nd St Ste 103
Boise, ID 837026081
📞 2083814700fax 2083814977

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...
    taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 2 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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