NPI age
12 years
Enumerated 2014-03-03
● Active
Type 1 · Individual
Sandra Kasumovic, PA-C
Kasumovic is 1 of 8 physician assistant providers in Caldwell and 1 of 387 in Idaho.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-15
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 387 active physician assistant providers in Idaho.
NPI age
12 years
↓ 3 yr below median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
2
In the 30% of peers with subspecialties
NPI lifetime · 2014 → 2026
2014-03Enumerated in NPPES
2014
2026
Where they practice
Practice location
2716 Syringa Ln
Caldwell, ID 836053052
Mailing address
3 Makin Ln
Succasunna, NJ 078761111
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
CounselorDefinition to come...
-
Physician AssistantA 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...
Practice context
Part of a multi-provider practice. 1 other active provider shares 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.