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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MCKENNA PECK
NPI 1194632414
Physician Assistant in Blackfoot, ID

Active since August 24, 2026
109 N 755 W, BLACKFOOT, ID 83221(208) 680-6350 Get Directions Write a Review

NPPES record added: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mckenna Peck NPPES

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

MCKENNA PECK (NPI 1194632414) is an individual physician assistant in Blackfoot, Idaho, licensed in Idaho (1251672) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1194632414
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMCKENNA PECK
Location Address109 N 755 WBlackfoot, ID 83221-5345
Mailing Address109 N 755 WBlackfoot, ID 83221-5345
Phone(208) 680-6350
Sole ProprietorNo
Enumeration DateAugust 24, 2026
NPPES CertifiedAugust 24, 2026
✔ NPI 1194632414 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 · 1251672
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.
109 N 755 W, Blackfoot, ID 83221
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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 Mckenna Peck's NPI number?

The NPI number for Mckenna Peck is 1194632414. It was assigned to this individual provider in the NPPES registry on August 24, 2026.

Where is Mckenna Peck located?

Mckenna Peck practices at 109 N 755 W, Blackfoot, ID 83221. The listed phone number is (208) 680-6350.

What is Mckenna Peck'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 Mckenna Peck was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.