Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649879081 Individual Practitioner Female Practitioner

Grace Suyanti Muliawan , PA-C

Physician Assistant • Challis, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Grace Muliawan, PA-C is a certified Physician Assistant practicing in Challis, ID. With approximately 6 years of clinical experience since completing medical education in 2020, Grace Muliawan delivers high-quality medical care to the local community at 611 CLINIC RD.

Grace Muliawan is affiliated with Challis Area Health Center Incorporated and accepts Medicare assignment.

Frequently performed procedures and clinical services include urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

611 Clinic Rd

Challis, ID 832264824

Telephone 2088794351
Fax 2088795216
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Challis, ID

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -6.3 yrs vs City Avg
City Avg: 12.3 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Challis, ID (1261 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Muliawan (6 Years) 6 Yrs
Challis Specialty Average (12.3 Years) 12.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
81002 Urinalysis, manual test
14 13 $12.03 $3.41

Medical Specialties & State Licenses

CMS Verified: 2026-06-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA-1991

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License ID PA-1991

Definition to come...

Hospital & Practice Group Affiliations

Challis Area Health Center Incorporated

Po Box, Challis, ID 832260980

Challis Area Health Center Incorporated

Po Box, Challis, ID 83226

Challis Area Health Center Incorporated

611 Clinic Rd, Challis, ID 832264824

Phone: 2088794351

Practice Associates & Co-Workers

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

11 Associated Practitioners
Gay Miremont , LCSW

Social Worker - Clinical

NPI 1134556814

Licensed Clinical Social Worker

Kenneth Hyatt , PA-C

Physician Assistant - Medical

NPI 1144312513

Physician Assistant (Certified)

Jenna Jensen , FNP-C

Nurse Practitioner - Family

NPI 1194095570

Family Nurse Practitioner (Certified)

Cherie Strand , OTR, L, CHT

Occupational Therapist

NPI 1417935123

Occupational Therapist Registered, L, Certified Hand Therapist

Matthew Banks , PA-C

Physician Assistant

NPI 1639443880

Physician Assistant (Certified)

Stephen Smith , PA-C

Physician Assistant

NPI 1639448798

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location June 29, 2026

Registered at 611 CLINIC RD, CHALLIS, ID 832264824 (Tel: 2088794351)

📍
Updated Business Mailing Address June 29, 2026

Registered at PO BOX 980, CHALLIS, ID 832260980 (Tel: 2088794351)

📍
Updated Practice Location August 25, 2023

Registered at 3815 N SCHREIBER WAY STE 101, COEUR D ALENE, ID 838158362 (Tel: 2087552804)

📍
Updated Business Mailing Address August 25, 2023

Registered at 3815 N SCHREIBER WAY STE 101, COEUR D ALENE, ID 838158362 (Tel: 2087552804)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2023

Physician Assistant (License #PA-1991 in ID)

NPI Profile Active October 17, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2020

Registered at 980 W IRONWOOD DR STE 207, COEUR D ALENE, ID 838142668 (Tel: 2087552804)

📍
Updated Business Mailing Address October 17, 2020

Registered at 980 W IRONWOOD DR STE 207, COEUR D ALENE, ID 838142668 (Tel: 2087552804)

👤
Provider Name / Credentials Updated October 17, 2020

Recorded as GRACE MULIAWAN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2020

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 17, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Grace Muliawan. Be the first to share your experience!

Sign in to leave a review for Grace Muliawan

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1649879081
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2020
Last Update: June 29, 2026
Sole Proprietor: No

Mailing Address

Po Box 980

Challis, ID 832260980

Phone: 2088794351

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.