Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720861206 Individual Practitioner Female Practitioner

Emily Brooke Null , PA-C

Physician Assistant • Vienna, ID

Professional Overview & Biography Verified Profile Summary

Emily Null, PA-C is a registered healthcare professional specializing in Physician Assistant in Vienna, ID. Practice services are available at 6665 IL-146 E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6665 Il-146 E

Vienna, ID 629959998

Telephone 6186588331
Fax 6185498434

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Vienna, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Vienna, ID (1261 Statewide)

Telehealth Adoption Rate
0.0% 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: 2026-05-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.009966

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners
NPI 1073444196
Nikole Justice , LCSW

Social Worker - Clinical

NPI 1518424597

Licensed Clinical Social Worker

Amanda Wilderman

Family Medicine - Adult Medicine

NPI 1659915171
Dr. Alfonso David , MD

Internal Medicine

NPI 1942488978

Doctor of Medicine (M.D.)

Dr. Zahoor Makhdoom , MD

Internal Medicine - Gastroenterology

NPI 1982667309

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location May 13, 2025

Registered at 6665 IL-146 E, VIENNA, ID 629959998 (Tel: 6186588331)

📍
Updated Business Mailing Address May 13, 2025

Registered at 6665 IL-146 E, VIENNA, IL 629959998

📍
Updated Practice Location May 01, 2025

Registered at 4096 ALUM CAVE RD, MARION, IL 629598849 (Tel: 0000000000)

📍
Updated Business Mailing Address May 01, 2025

Registered at 4096 ALUM CAVE RD, MARION, IL 629598849

📍
Updated Practice Location September 29, 2023

Registered at 14410 ROUTE 37, JOHNSTON CITY, IL 629513166 (Tel: 6189836911)

📍
Updated Business Mailing Address September 29, 2023

Registered at PO BOX 155, CHRISTOPHER, IL 628220155 (Tel: 6187242401)

NPI Profile Active August 17, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 17, 2023

Registered at 14410 IL-37, JOHNSTON CITY, IL 62951 (Tel: 6189836911)

📍
Updated Business Mailing Address August 17, 2023

Registered at 4096 ALUM CAVE RD, MARION, IL 629598849 (Tel: 6186949137)

👤
Provider Name / Credentials Updated August 17, 2023

Recorded as EMILY NULL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2023

Physician Assistant (License #085.009966 in IL)

🟢
Initial NPI Registration & Enumeration August 17, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1720861206
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2023
Last Update: May 20, 2026
Sole Proprietor: No

Mailing Address

6665 Il-146 E

Vienna, IL 629959998

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.