P Praxis·MD
● Active Type 1 · Individual

Megan L. MacButch, PA-C

Physician Assistant·Pocatello, ID· NPI 1689965618 · Enumerated 2011 · 15 years on NPI
MacButch is 1 of 57 physician assistant providers in Pocatello and 1 of 1263 in Idaho.
NPI age
15 years
Enumerated 2011-04-25
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID, CO
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-07-10
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
15 years
↑ 6 yr above median (9 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-04Enumerated in NPPES
2011 2026

Where they practice

Practice location
1951 Bench Rd Ste B
Pocatello, ID 832012073
📞 2082381000fax 2082380009
Mailing address
1951 Bench Rd Ste B
Pocatello, ID 832012073
📞 2082381000fax 2082380009

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1302 E 5th St
Pueblo, CO 810013754
📞 7195438711fax 7195435340

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-1219CO license #3199 taxonomy 363A00000X

Identifiers

TypeValueNotes
05 (CO) 90507061
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 3 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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