P Praxis·MD
● Active Type 1 · Individual

Sorcha M Cusack, PA-C

Physician Assistant·Boise, ID· NPI 1396071056 · Enumerated 2009 · 16 years on NPI
Cusack is 1 of 91 physician assistant providers in Boise and 1 of 387 in Idaho.
NPI age
16 years
Enumerated 2009-10-29
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-01-05
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
16 years
≈ at median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-10Enumerated in NPPES
2009 2026

Where they practice

Practice location
300 E Jefferson St, Ste 300
Boise, ID 837126246
📞 2083814000
Mailing address
190 E Bannock St
Boise, ID 837126241
📞 2087323400fax 2087323300

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #PA825 taxonomy 363AM0700X

Identifiers

TypeValueNotes
01 (ID) PA825 STATE LICENSE

Practice context

Part of a multi-provider practice. 31 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. 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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