NPI age
18 years
Enumerated 2007-08-22
● Active
Type 1 · Individual
Lisa A Bosworth, PA
Bosworth is 1 of 57 physician assistant providers in Pocatello and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-02-14
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
18 years
↑ 9 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-08Enumerated in NPPES
2007
2026
Where they practice
Practice location
1951 Bench Rd Ste B
Pocatello, ID 832012073
Mailing address
1951 Bench Rd
Pocatello, ID 832012013
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
444 Hospital Way Ste 777
Pocatello, ID 832012744
Location 3
110 Vista Dr
Pocatello, ID 832015824
Specialties
-
Physician Assistant PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807835100 |
Practice context
Part of a multi-provider practice. 3 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 →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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