P Praxis·MD
● Active Type 1 · Individual

MR. Austen Reis Cardoza, PA-C

Physician Assistant·Plummer, ID· NPI 1821766296 · Enumerated 2021 · 4 years on NPI
Cardoza is 1 of 3 physician assistant providers in Plummer and 1 of 1263 in Idaho.
NPI age
4 years
Enumerated 2021-09-01
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
WA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-04-26
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
4 years
↓ 5 yr below median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
1
In the 35% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-09Enumerated in NPPES
2021 2026

Where they practice

Practice location
427 N 12th St
Plummer, ID 83851
📞 2086861931
Mailing address
427 12th Street/ Po Box 388
Plummer, ID 83851
📞 2086861931

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...
    WA license #1199369 taxonomy 363A00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 6 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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