P Praxis·MD
● Active Type 1 · Individual

Molly C Piccono, PA

Physician Assistant·Boise, ID· NPI 1881739274 · Enumerated 2007 · 19 years on NPI
Piccono is 1 of 36 physician assistant providers in Boise and 1 of 97 in Idaho.
NPI age
19 years
Enumerated 2007-02-21
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-12-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 97 active physician assistant providers in Idaho.

NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
0
56% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-02Enumerated in NPPES
2007 2026

Where they practice

Practice location
6140 W Curtisian Ave, Suite 100
Boise, ID 837040109
📞 2083677090fax 2083677092
Mailing address
3340 E Goldstone Way
Meridian, ID 836421026
📞 2083675170fax 2083675180

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #PA-659ID license #PA659 taxonomy 363AS0400X

Identifiers

TypeValueNotes
05 (ID) 8076996
01 P00395077 RAILROAD MEDICARE

Practice context

Part of a multi-provider practice. 21 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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