P Praxis·MD
● Active Type 1 · Individual

Terry J. Anderson, PA-C

Physician Assistant·Rexburg, ID· NPI 1528097102 · Enumerated 2006 · 19 years on NPI
Anderson is 1 of 23 physician assistant providers in Rexburg and 1 of 1263 in Idaho.
NPI age
19 years
Enumerated 2006-07-03
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-04-05
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
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
100 Shc Drive Byui
Rexburg, ID 834602010
📞 2084969330fax 2084969333
Mailing address
100 Shc Drive Byui
Rexburg, ID 834602010
📞 2084969330fax 2084969333

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...
    ID license #PA 663 taxonomy 363A00000X

Practice context

Solo or small practice. No 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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