P Praxis·MD
● Active Type 1 · Individual

Kayce N Gardner, PA-C

Physician Assistant·Pocatello, ID· NPI 1346056686 · Enumerated 2024 · 1 years on NPI
Gardner is 1 of 33 physician assistant providers in Pocatello and 1 of 387 in Idaho.
NPI age
1 years
Enumerated 2024-12-10
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-16
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
1 years
↓ 14 yr below median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2024 → 2026

2024-12Enumerated in NPPES
2024 2026

Where they practice

Practice location
777 Hospital Way, Suite 201
Pocatello, ID 832015175
📞 2082392620fax 2082393778
Mailing address
P.o. Box 4168
Pocatello, ID 832054168
📞 2082391035fax 2082393626

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #9171784 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 144 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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