P Praxis·MD
● Active Type 1 · Individual

Stacey Lynn Adan, CST

Specialist/Technologist, Other·Boise, ID· NPI 1962367029 · Enumerated 2025 · 0 years on NPI
Adan is 1 of 20 specialist/technologist, other providers in Boise and 1 of 52 in Idaho.
NPI age
— years
Enumerated 2025-12-22
Primary specialty
Specialist/Technologist, Other
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2026-02-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 52 active specialist/technologist, other providers in Idaho.

NPI age
0 years
↓ 3 yr below median (3 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2025 → 2026

2025-12Enumerated in NPPES
2025 2026

Where they practice

Practice location
8800 W Emerald St
Boise, ID 837048205
📞 2083735000
Mailing address
16 S Bingham St
Nampa, ID 836517650

Specialties

  • Specialist/Technologist, Other Primary
    A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting,...
    taxonomy 246ZC0007X

Practice context

Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new specialist/technologist, other providers have 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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