Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528653045 Individual Practitioner Male Practitioner

Travis Wahl

Physician Assistant • Boise, ID

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Travis Wahl is a certified Physician Assistant practicing in Boise, ID. With approximately 5 years of clinical experience since completing medical education in 2021, Travis Wahl delivers high-quality medical care to the local community at 222 N 2ND ST STE 215.

Travis Wahl is affiliated with St Lukes Clinic-Treasure Valley Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

222 N 2nd St Ste 215

Boise, ID 837026130

Telephone 2083815500
Fax 2083812555
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boise, ID

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -5.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
364 Specialists

Practicing in Boise, ID (1261 Statewide)

Telehealth Adoption Rate
12.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wahl (5 Years) 5 Yrs
Boise Specialty Average (10.1 Years) 10.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-10-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA-2138

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 trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

St Lukes Clinic-Treasure Valley Llc

190 E Bannock St, Boise, ID 837126241

Phone: 2083819384

St Lukes Clinic-Treasure Valley Llc

520 S Eagle Rd, Meridian, ID 836426355

St Lukes Clinic-Treasure Valley Llc

610 W Hays St, Boise, ID 837025511

Phone: 2083815970

St Lukes Clinic-Treasure Valley Llc

100 E Bannock St, Boise, ID 837126241

Phone: 2083812983

St Lukes Clinic-Treasure Valley Llc

222 N 2nd St, Boise, ID 837026130

St Lukes Clinic-Treasure Valley Llc

608 W Hays St, Boise, ID 837025511

Phone: 2083815970

Secondary Practice Locations

435 N 5th St

Phoenix, AZ 850042157

Phone: 6028272450

6140 W Curtisian Ave Ste 300

Boise, ID 837040107

Phone: 2083020000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Dr. Kenneth Little , MD

Neurological Surgery

NPI 1023039468

Doctor of Medicine (M.D.)

Dr. David Bray , MD

Neurological Surgery

NPI 1114381142

Doctor of Medicine (M.D.)

David Nielson , PA-C

Physician Assistant

NPI 1124393939

Physician Assistant (Certified)

Kimberly Mrozek , PA-C

Physician Assistant - Medical

NPI 1164985867

Physician Assistant (Certified)

Alec Meyerhoeffer

Physician Assistant

NPI 1184322513
Angela Apreotesi

Physician Assistant

NPI 1184352213

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location October 17, 2024

Registered at 222 N 2ND ST STE 215, BOISE, ID 837026130 (Tel: 2083815500)

📍
Updated Business Mailing Address October 17, 2024

Registered at 190 E BANNOCK ST, BOISE, ID 837126241

📍
Updated Practice Location November 04, 2021

Registered at 6140 W CURTISIAN AVE STE 300, BOISE, ID 837040107 (Tel: 2083020000)

📍
Updated Business Mailing Address November 04, 2021

Registered at 3340 E GOLDSTONE DR, MERIDIAN, ID 836421026 (Tel: 2083675170)

NPI Profile Active March 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2021

Registered at 435 N 5TH ST, PHOENIX, AZ 850042157 (Tel: 6028272450)

📍
Updated Business Mailing Address March 05, 2021

Registered at PO BOX 298, SAINT JOHNS, AZ 859360298

👤
Provider Name / Credentials Updated March 05, 2021

Recorded as TRAVIS WAHL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 05, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528653045
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 05, 2021
Last Update: October 17, 2024
Sole Proprietor: Yes

Mailing Address

190 E Bannock St

Boise, ID 837126241

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.