1. Home
  2. Directory
  3. Idaho
  4. Lewiston
  5. Physician Assistant
  6. NPI Profile

VINCENT FIBELSTAD PA
NPI 1184762825
Physician Assistant in Lewiston, ID

Active since February 02, 2007
415 6TH ST, LEWISTON, ID 83501(208) 743-2511(208) 799-5554 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vincent Fibelstad Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VINCENT FIBELSTAD PA (NPI 1184762825) is an individual physician assistant in Lewiston, Idaho, licensed in Idaho (PA-02) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1184762825
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameVINCENT FIBELSTADCredential: PA
Location Address415 6TH STLewiston, ID 83501-2431
Mailing Address415 6th StLewiston, ID 83501-2431 · (208) 743-2511 · Fax (208) 799-5554
Phone(208) 743-2511
Fax(208) 799-5554
Sole ProprietorNo
Enumeration DateFebruary 2, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1184762825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA-02
Definition
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.
415 6TH ST, Lewiston, ID 83501
Open in Google Maps ↗

Other Identifiers 6

Other10017689ID · Regence Of Id Urgent Care
Medicare UPINS59419ID
Other10017690ID · Regence Of Idaho
OtherHBNA1ID · Idaho Blue Cross
Medicare ID-Type Unspecified1665521ID · Cigna Medicare
Medicaid8118705WA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLE JAMES DALY CRNA
Nurse Anesthetist, Certified Registered
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 743-2511
DAVID B SOUVENIR M.D.
Internal Medicine (Infectious Disease)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 750-7204
DR. JOHN W. HO MD
Radiology (Vascular & Interventional Radiology)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 750-7445
SUSANNE CHOBY MD
Psychiatry & Neurology (Psychiatry)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5700
CHRISTOPHER V RICKETTS PA
Physician Assistant
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5280
MS. DARCI M. GRAVES LMSW
Social Worker (Clinical)
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-6500
LAENNEC INPATIENT SERVICES
Internal Medicine
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5522
DEBORAH SULLIVAN
Speech-Language Pathologist
415 6TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-6514

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vincent Fibelstad's NPI number?

The NPI number for Vincent Fibelstad is 1184762825. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Vincent Fibelstad located?

Vincent Fibelstad practices at 415 6th St, Lewiston, ID 83501. The listed phone number is (208) 743-2511.

What is Vincent Fibelstad's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Vincent Fibelstad was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.