NPI age
18 years
Enumerated 2007-07-27
● Active Type 2 · Organization
Mountain Health Mid Level
Mountain Health Mid Level is 1 of 387 physician assistant organizations in Idaho.
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Haughn
Office Manager
Last NPPES update
2008-08-15
Source: monthly bulk 2026-05
How this organization compares
Across 387 active physician assistant providers in Idaho.
NPI age
18 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
740 McKinley Ave
Kellogg, ID 838372693
Mailing address
740 McKinley Ave
Kellogg, ID 838372693
Authorized official
Lynn Haughn
Office Manager
📞 2087831267
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Sue Castleman, D.O. Internal Medicine NPI 1528260429
- Karen Currie, LCSW Social Worker NPI 1144697814
- Robert Fallon, MD Surgery NPI 1285678912
- Yanhua Gao Pharmacist NPI 1497881031
- MacKenzie Gilbertson, BS Social Worker NPI 1669215943
- Frederick Haller, M.D. Internal Medicine NPI 1396797726
- Shelly Hansen, LMSW Social Worker NPI 1730341603
- Lindsey Hill, CHCW Case Manager/Care Coordinator NPI 1205445574
- Kelli Kenser, DPT Physical Therapist NPI 1548075443
- Jocelyn Korasick, MD Family Medicine NPI 1457346603
- Cory Lewis, DPT Physical Therapist NPI 1467496323
- Steven Malek, MD Family Medicine NPI 1740273044
- Kathleen Nansel, BA, CFSP Rehabilitation Practitioner NPI 1972089605
- Shannon Nansel, PEER SUPPORT SPECIAL Peer Specialist NPI 1619453370
- Amanda Olson, LCSW Social Worker NPI 1588158943
- Jennifer Porter, LCSW Social Worker NPI 1962889477
- Melissa Rix Nurse Practitioner NPI 1992586309
- Casey Vincent, LCSW Social Worker NPI 1679094940
- Garret Wendt, PHARMD Pharmacist NPI 1255065058
- Tony Wright Pharmacist NPI 1821372384
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002791000 | |
| 01 (ID) | CC9834 | RAILROAD MEDICARE |
| 01 (ID) | 8A570 | BLUE CROSS |
| 01 (ID) | 000010006537 | REGENCE |
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 387 Physician Assistant providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.