NPI age
18 years
Enumerated 2008-02-15
● Active
Type 1 · Individual
Cody Elijah Wissenbach, P.A.
Wissenbach is 1 of 363 physician assistant providers in Boise and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID, NV, WA
3 states
Status
Active
No deactivations on record
Last NPPES update
2023-11-14
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
3 states
Top 81% — 19% of peers are multi-state
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-02Enumerated in NPPES
2008
2026
Where they practice
Practice location
999 N Curtis Rd Ste 415
Boise, ID 837061334
Mailing address
Po Box 190930
Boise, ID 837190930
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
6770 S McCarran Blvd
Reno, NV 895096103
Location 3
3841 W Charleston Blvd Ste 203
Las Vegas, NV 891021858
Location 4
1411 4th Ave
Seattle, WA 981012249
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...
Practice context
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
Recently enumerated nearby: 3 new physician assistant providers have been added in Boise in the last 180 days.
See all →
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