Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962081810 Individual Practitioner Female Practitioner

Crystal Noel Odegard , PA-C

Physician Assistant • Eagle, ID

Professional Overview & Biography Verified Profile Summary

Crystal Odegard, PA-C is a registered healthcare professional specializing in Physician Assistant in Eagle, ID. Practice services are available at 1079 S ANCONA AVE STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1079 S Ancona Ave Ste 100

Eagle, ID 836167443

Telephone 2088532273
Associated Practice Facility / Clinic
🏢 Preventative Health Facility NPI 1922377027

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Eagle, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.4 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
23 Specialists

Practicing in Eagle, ID (1261 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-04-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA-1982

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 07, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2021

Registered at 1079 S ANCONA AVE STE 100, EAGLE, ID 836167443 (Tel: 2088532273)

📍
Updated Business Mailing Address April 07, 2021

Registered at 1652 W SUNNY SLOPE DR, MERIDIAN, ID 836424336 (Tel: 5412854851)

👤
Provider Name / Credentials Updated April 07, 2021

Recorded as CRYSTAL ODEGARD, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2021

Physician Assistant (License #PA-1982 in ID)

🟢
Initial NPI Registration & Enumeration April 07, 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: 1962081810
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2021
Last Update: April 07, 2021
Sole Proprietor: No

Mailing Address

1652 W Sunny Slope Dr

Meridian, ID 836424336

Phone: 5412854851

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.