NPI age
7 years
Enumerated 2018-08-16
● Active
Type 1 · Individual
Russell L Evans, PA-C
Evans is 1 of 24 physician assistant providers in Lewiston and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Plus 4 subspecialties
Licensed in
ID, MN, WA
3 states
Status
Active
No deactivations on record
Last NPPES update
2020-06-03
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
7 years
↓ 2 yr below median (9 yr)
State licenses
3 states
Top 81% — 19% of peers are multi-state
Subspecialties
3
In the 35% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-08Enumerated in NPPES
2018
2026
Where they practice
Practice location
320 Warner Dr
Lewiston, ID 835014441
Mailing address
320 Warner Dr
Lewiston, ID 835014441
Additional practice locations
1 secondary location on file with NPPES.
Location 2
415 6th St, Lewiston, Id
Lewiston, ID 83501
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...
-
Radiologic TechnologistA radiologic technologist who specializes in computed tomography (CT) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of CT imaging, exam...
-
Radiologic TechnologistA radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of...
-
RadiologyA radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 1851871172 | |
| 05 (ID) | 1851871172 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Lewiston in the last 180 days.
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Request a quote →How to verify this provider
- 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.