P Praxis·MD
● Active Type 1 · Individual

Marina J Sampogna, PA

Physician Assistant·Boise, ID· NPI 1952627986 · Enumerated 2010 · 16 years on NPI
Sampogna is 1 of 91 physician assistant providers in Boise and 1 of 387 in Idaho.
NPI age
16 years
Enumerated 2010-04-15
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID, VA
2 states
Status
Active
No deactivations on record
Last NPPES update
2016-11-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 387 active physician assistant providers in Idaho.

NPI age
16 years
≈ at median (15 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-04Enumerated in NPPES
2010 2026

Where they practice

Practice location
10255 W Overland Rd
Boise, ID 837091430
📞 2083025600fax 2083025655
Mailing address
3340 E Goldstone Way
Meridian, ID 836421026
📞 2083025600fax 2083025655

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #PA-1049VA license #0110003294 taxonomy 363AM0700X

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Boise 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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