Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184253585 Individual Practitioner Male Practitioner

Tate Coltan Staker , PA-C

Physician Assistant • Rexburg, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tate Staker, PA-C is a certified Physician Assistant practicing in Rexburg, ID. With approximately 6 years of clinical experience since completing medical education in 2020, Tate Staker delivers high-quality medical care to the local community at 130 W MAIN ST.

Tate Staker is affiliated with Mountain View Hospital Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

130 W Main St

Rexburg, ID 834401827

Telephone 2083568818
Associated Practice Facility / Clinic
🏢 Brad Egbert Chiropractic Llc Facility NPI 1578712949

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 Rexburg, ID

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -7.8 yrs vs City Avg
City Avg: 13.8 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
21 Specialists

Practicing in Rexburg, ID (1261 Statewide)

Telehealth Adoption Rate
4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Staker (6 Years) 6 Yrs
Rexburg Specialty Average (13.8 Years) 13.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-10-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA-1932

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

Mountain View Hospital Llc

2325 Coronado St, Idaho Falls, ID 834047407

Phone: 2085572700

Mountain View Hospital Llc

2351 Coronado St, Idaho Falls, ID 834047407

Phone: 2085227310

Mountain View Hospital Llc

2305 Coronado St, Idaho Falls, ID 834047407

Phone: 2085221764

Mountain View Hospital Llc

2375 Coronado St, Idaho Falls, ID 834047407

Phone: 2085521234

Mountain View Hospital Llc

2353 Coronado St, Idaho Falls, ID 834047407

Phone: 2085524823

Mountain View Hospital Llc

404 N 2nd, Rexburg, ID 834401608

Phone: 2083591770

Mountain View Hospital Llc

2330 Coronado St, Idaho Falls, ID 834047407

Phone: 2085521234

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1134279565

Doctor of Chiropractic

NPI 1447557483

Doctor of Chiropractic

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 28, 2021

Registered at 130 W MAIN ST, REXBURG, ID 834401827 (Tel: 2083568818)

📍
Updated Business Mailing Address October 28, 2021

Registered at 130 W MAIN ST, REXBURG, ID 834401827 (Tel: 2083568818)

👤
Provider Name / Credentials Updated October 28, 2021

Recorded as TATE STAKER, PA-C

NPI Profile Active April 07, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2020

Registered at 1322 S 2ND E, REXBURG, ID 834403824 (Tel: 2087166982)

📍
Updated Business Mailing Address April 07, 2020

Registered at 1322 S 2ND E, REXBURG, ID 834403824

👤
Provider Name / Credentials Updated April 07, 2020

Recorded as TATE STAKER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 07, 2020

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: 1184253585
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2020
Last Update: October 28, 2021
Sole Proprietor: Yes

Mailing Address

130 W Main St

Rexburg, ID 834401827

Phone: 2083568818

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.