P Praxis·MD
● Active Type 1 · Individual

Preston S Smith, PA-C

Physician Assistant·Nampa, ID· NPI 1992794929 · Enumerated 2005 · 20 years on NPI
Smith is 1 of 96 physician assistant providers in Nampa and 1 of 1263 in Idaho.
NPI age
20 years
Enumerated 2005-10-21
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-11-01
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
20 years
↑ 11 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-10Enumerated in NPPES
2005 2026

Where they practice

Practice location
215 E Hawaii Ave
Nampa, ID 836866011
📞 2084685930fax 2084633044
Mailing address
215 E Hawaii Ave
Nampa, ID 836866011

Additional practice locations

1 secondary location on file with NPPES.

Location 2
500 W. Fort St., # 111
Boise, ID 83702
📞 2084221000fax 2084221319

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 #PA464 taxonomy 363A00000X

Identifiers

TypeValueNotes
01 (ID) 000010145450 BLUE SHIELD
01 (ID) DAGV3 BLUE CROSS
01 (ID) 000010145449 BLUE SHIELD
05 (ID) 806749400
01 (ID) PAG001 BLUE CROSS
01 (ID) P00160006 RAILROAD MEDICARE

Practice context

Part of a multi-provider practice. 47 other active providers share this practice address in NPPES.

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