NPI age
2 years
Enumerated 2023-09-25
● Active Type 2 · Organization
Prestige Wellness Clinic
Prestige Wellness Clinic 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
Hansen
Ceo
Last NPPES update
2023-09-25
Source: monthly bulk 2026-05
How this organization compares
Across 387 active physician assistant providers in Idaho.
NPI age
2 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-09Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
3749 E 343 N
Rigby, ID 834425326
Mailing address
3749 E 343 N
Rigby, ID 834425326
Authorized official
Levi Hansen
Ceo
📞 2087059800
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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- 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.