MRS. PAULA BRUTZ PHELPS PA
NPI 1477690899
Physician Assistant - Medical in Pocatello, ID

Active since February 01, 2007
1151 HOSPITAL WAY, SUITE D, SUITE 201, POCATELLO, ID 83201(208) 478-2472 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Paula Brutz Phelps Pa NPPES

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

MRS. PAULA BRUTZ PHELPS PA (NPI 1477690899) is an individual medical provider in Pocatello, Idaho, licensed in Idaho (PA-166) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1477690899
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. PAULA BRUTZ PHELPSCredential: PA
Location Address1151 HOSPITAL WAY, SUITE D, SUITE 201Pocatello, ID 83201-5091
Mailing AddressPo Box 4908Pocatello, ID 83205-4908 · (208) 236-1600 · Fax (208) 209-1027
Sole ProprietorNo
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJune 19, 2018
NPI 1477690899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in ID · PA-166
1151 HOSPITAL WAY, Pocatello, ID 83201

Other Identifiers 2

Medicaid004392500ID
OtherPAJ81ID · Bcs

Other Providers at the Same Location NPPES 16

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

Social Worker
1151 HOSPITAL WAY
POCATELLO, ID 83201
Specialist
1151 HOSPITAL WAY
POCATELLO, ID 83201
Social Worker
1151 HOSPITAL WAY
POCATELLO, ID 83201
Legal Medicine
1151 HOSPITAL WAY, BUILDING F
POCATELLO, ID 83201
Internal Medicine (Gastroenterology)
1151 HOSPITAL WAY, BUILDING A
POCATELLO, ID 83201
Specialist/Technologist (Athletic Trainer)
1151 HOSPITAL WAY
POCATELLO, ID 83201
Radiology (Diagnostic Radiology)
1151 HOSPITAL WAY, BLDG B
POCATELLO, ID 83201
Clinic/Center
1151 HOSPITAL WAY
POCATELLO, ID 83201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477690899, enumerated as an "individual" on February 01, 2007.

The provider is located at 1151 HOSPITAL WAY SUITE D, SUITE 201 POCATELLO, ID 83201 and the phone number is (208) 478-2472.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.