P Praxis·MD
● Active Type 1 · Individual

Angela Ann Coyne, PA

Physician Assistant·Eagle, ID· NPI 1538276928 · Enumerated 2006 · 19 years on NPI
Coyne is 1 of 7 physician assistant providers in Eagle and 1 of 387 in Idaho.
NPI age
19 years
Enumerated 2006-08-23
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-11-03
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
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
1605 E Riverside Drive
Eagle, ID 836166237
📞 2089396227fax 2089396442
Mailing address
1605 E Riverside Drive
Eagle, ID 836166237
📞 2089396227fax 2089396442

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #PA-512 taxonomy 363AM0700X
  • Physician Assistant
    Definition to come...
    ID license #PA-512 taxonomy 363AS0400X

Identifiers

TypeValueNotes
01 (ID) PA-512 LICENSE

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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