NPI age
6 years
Enumerated 2020-01-16
● Active
Type 1 · Individual
Nicole Marie Funk, PA-C
Funk is 1 of 14 physician assistant providers in Meridian and 1 of 97 in Idaho.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-11-01
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
6 years
↓ 7 yr below median (13 yr)
State licenses
2 states
Top 76% — 23% of peers are multi-state
Subspecialties
1
In the 56% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-01Enumerated in NPPES
2020
2026
Where they practice
Practice location
875 S Vanguard Way
Meridian, ID 836428540
Mailing address
215 E Hawaii Ave
Nampa, ID 836866011
Additional practice locations
1 secondary location on file with NPPES.
Location 2
215 E Hawaii Ave
Nampa, ID 836866011
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Physician AssistantA 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...
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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