P Praxis·MD
● Active Type 1 · Individual

Shaun J Westergard, PA

Physician Assistant·Idaho Falls, ID· NPI 1740461102 · Enumerated 2007 · 18 years on NPI
Westergard is 1 of 105 physician assistant providers in Idaho Falls and 1 of 1263 in Idaho.
NPI age
18 years
Enumerated 2007-11-14
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-12-12
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
1
In the 35% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-11Enumerated in NPPES
2007 2026

Where they practice

Practice location
2001 S Woodruff Ave Ste 9
Idaho Falls, ID 834046371
📞 2084193002fax 2086565652
Mailing address
2001 S Woodruff Ave Ste 9
Idaho Falls, ID 834046371
📞 2084193002fax 2086565652

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-710 taxonomy 363A00000X
  • Physician Assistant
    Definition to come...
    ID license #PA710 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 15 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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