P Praxis·MD
● Active Type 1 · Individual

Jacob Larsen, PA

Physician Assistant·Twin Falls, ID· NPI 1558730291 · Enumerated 2015 · 10 years on NPI
Larsen is 1 of 59 physician assistant providers in Twin Falls and 1 of 1263 in Idaho.
NPI age
10 years
Enumerated 2015-09-23
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-09-23
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
10 years
≈ at median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-09Enumerated in NPPES
2015 2026

Where they practice

Practice location
775 Pole Line Rd W Ste 103
Twin Falls, ID 833015819
📞 4806202084
Mailing address
680 Sunrise Blvd
Twin Falls, ID 833017060
📞 4806202084

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...
    taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Twin Falls 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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