MR. NICHOLAS HENSLEY MPAS PA-C NPI 1831647197

NPI Information

NPI: 1831647197
Provider Name: MR. NICHOLAS HENSLEY, MPAS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: MARCUS DALY MEMORIAL HOSPITAL CORPORATION

PECOS Registration: Yes

Address:
3155 CHANNING WAY STE B
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 535-4800
Get Directions

MR. Nicholas Hensley, MPAS, PA-C is a surgical physician assistant in Idaho Falls, ID with 8 years of experience. MR. Nicholas Hensley, MPAS, PA-C NPI is 1831647197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3155 CHANNING WAY STE B
IDAHO FALLS, ID
ZIP 83404-534
Phone: (208) 535-4800
Fax: (208) 535-4807

The NPI 1831647197 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/15/2016 and was last updated on 9/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA-1410	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1134039	MEDICARE PIN	IDAHO
2	G20851	MEDICARE UPIN	IDAHO
3	002786100	MEDICAID	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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