P Praxis·MD
● Active Type 1 · Individual

Trae Pilster, PA-C

Physician Assistant·Idaho Falls, ID· NPI 1578256814 · Enumerated 2023 · 2 years on NPI
Pilster is 1 of 4 physician assistant providers in Idaho Falls and 1 of 97 in Idaho.
NPI age
2 years
Enumerated 2023-06-01
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-11-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 97 active physician assistant providers in Idaho.

NPI age
2 years
↓ 11 yr below median (13 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
1
In the 56% of peers with subspecialties

NPI lifetime · 2023 → 2026

2023-06Enumerated in NPPES
2023 2026

Where they practice

Practice location
2210 Coronado St
Idaho Falls, ID 834047552
📞 2085223355fax 2085226019
Mailing address
2210 Coronado St
Idaho Falls, ID 834047552
📞 2085223355fax 2085226019

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
1218 Bond Ave
Rexburg, ID 834403503
📞 2085223355fax 2085226019
Location 3
1501 Hiland Ave
Burley, ID 833182688
📞 2086784444

Specialties

  • Physician Assistant Primary
    Definition to come...
    taxonomy 363AS0400X
  • Physician Assistant
    Definition to come...
    taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 7 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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