NPI age
4 years
Enumerated 2021-06-02
● Active
Type 1 · Individual
Michaela Sophia Butler, PA-S
Butler is 1 of 9 physician assistant providers in Chubbuck and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-03-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1263 active physician assistant providers in Idaho.
NPI age
4 years
↓ 5 yr below median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-06Enumerated in NPPES
2021
2026
Where they practice
Practice location
4650 Hawthorne Rd Ste 3b
Chubbuck, ID 832022376
Mailing address
600 Pioneer Rd Apt 605
Rexburg, ID 834403790
Additional practice locations
1 secondary location on file with NPPES.
Location 2
600 Pioneer Rd Apt 605
Rexburg, ID 834403790
Specialties
-
Physician Assistant PrimaryA 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...
Practice context
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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