P Praxis·MD
● Active Type 1 · Individual

Jadelyn Quisano Reid, PA-C

Physician Assistant·Meridian, ID· NPI 1942939269 · Enumerated 2022 · 3 years on NPI
Reid is 1 of 132 physician assistant providers in Meridian and 1 of 1263 in Idaho.
NPI age
3 years
Enumerated 2022-06-10
Primary specialty
Physician Assistant
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2025-04-02
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
3 years
↓ 6 yr below median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-06Enumerated in NPPES
2022 2026

Where they practice

Practice location
2275 S Eagle Rd Ste 120
Meridian, ID 836422620
📞 2085142520fax 2083752217
Mailing address
777 N Raymond St
Boise, ID 837049251
📞 2085142500fax 2083752217

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...
    taxonomy 363A00000X

Identifiers

TypeValueNotes
05 (ID) 1942939269

Practice context

Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Meridian in the last 180 days. See all →
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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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