P Praxis·MD
● Active Type 1 · Individual

Ryan Daniel Wolfley, PA-C

Physician Assistant·Pocatello, ID· NPI 1659035301 · Enumerated 2021 · 4 years on NPI
Wolfley is 1 of 57 physician assistant providers in Pocatello and 1 of 1263 in Idaho.
NPI age
4 years
Enumerated 2021-10-28
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-06-25
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

2021-10Enumerated in NPPES
2021 2026

Where they practice

Practice location
1950 E Clark St Ste 100
Pocatello, ID 832013315
📞 2088064581fax 2088373010
Mailing address
1950 E Clark St Ste 100
Pocatello, ID 832013315
📞 2088064581fax 2088373010

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-2153 taxonomy 363A00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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