P Praxis·MD
● Active Type 1 · Individual

Jennifer Grinage, PA-C

Physician Assistant·Lewiston, ID· NPI 1396151395 · Enumerated 2014 · 11 years on NPI
Grinage is 1 of 3 physician assistant providers in Lewiston and 1 of 387 in Idaho.
NPI age
11 years
Enumerated 2014-07-10
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-11-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 387 active physician assistant providers in Idaho.

NPI age
11 years
↓ 4 yr below median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-07Enumerated in NPPES
2014 2026

Where they practice

Practice location
222 Southway Ave Ste C
Lewiston, ID 835012703
📞 2087920111
Mailing address
1200 Nora Creek Rd
Troy, ID 838719647
📞 2087921011

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #PA1175 taxonomy 363AM0700X

Identifiers

TypeValueNotes
05 (WA) 1396151395
05 (ID) 1396151395

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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