P Praxis·MD
● Active Type 1 · Individual

Philip C Hesse, PA

Physician Assistant·Idaho Falls, ID· NPI 1811975386 · Enumerated 2006 · 20 years on NPI
Hesse is 1 of 105 physician assistant providers in Idaho Falls and 1 of 1263 in Idaho.
NPI age
20 years
Enumerated 2006-01-05
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-01-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1263 active physician assistant providers in Idaho.

NPI age
20 years
↑ 11 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-01Enumerated in NPPES
2006 2026

Where they practice

Practice location
2377 Coronado St
Idaho Falls, ID 834047440
📞 2085572570
Mailing address
Po Box 1647
Idaho Falls, ID 834031647
📞 2085354130fax 2085354125

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3100 Channing Way
Idaho Falls, ID 834047533
📞 2085354120

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 #PA87 taxonomy 363A00000X

Identifiers

TypeValueNotes
01 (ID) PASPA BLUE CHOICE
05 (ID) 806633300

Practice context

Part of a multi-provider practice. 8 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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