P Praxis·MD
● Active Type 2 · Organization

I Care Medical Clinic PA

Physician Assistant·Saint Anthony, ID· NPI 1952654741 · Enumerated 2012 · 13 years on NPI
I Care Medical Clinic PA is 1 of 1263 physician assistant organizations in Idaho.
NPI age
13 years
Enumerated 2012-10-18
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Willmore
Owner
Last NPPES update
2013-04-04
Source: monthly bulk 2026-05

How this organization compares

Across 1263 active physician assistant providers in Idaho.

NPI age
13 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2012 → 2026

2012-10Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
430 N Bridge St
Saint Anthony, ID 834451425
📞 2086244402fax 2086244409
Mailing address
430 N Bridge St
Saint Anthony, ID 834451425
📞 2086244402fax 2086244409

Authorized official

Jennifer Rickell Willmore, MPAS, PAC
Owner
📞 2086244402

Individual providers at this organization

1 individual provider on file at this primary practice address.

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...
    ID license #PA 519 taxonomy 363A00000X

Identifiers

TypeValueNotes
05 (ID) 807122700

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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