P Praxis·MD
● Active Type 1 · Individual

Lance W McKay, P.A.-C

Physician Assistant·Pocatello, ID· NPI 1720379597 · Enumerated 2011 · 15 years on NPI
McKay is 1 of 8 physician assistant providers in Pocatello and 1 of 97 in Idaho.
NPI age
15 years
Enumerated 2011-04-27
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-12-16
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
15 years
↑ 2 yr above median (13 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
1
In the 56% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-04Enumerated in NPPES
2011 2026

Where they practice

Practice location
1151 Hospital Way, Bld D
Pocatello, ID 832015091
📞 2082398010fax 2087822974
Mailing address
1151 Hospital Way, Bld D
Pocatello, ID 832015091
📞 2082398010fax 2087822974

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #PA-1071 taxonomy 363AS0400X
  • Physician Assistant
    Definition to come...
    ID license #PA-1071 taxonomy 363AM0700X

Identifiers

TypeValueNotes
01 (AZ) 3Z5047 HEALTHNET
05 (AZ) 611187

Practice context

Solo or small practice. No 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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