1. Home
  2. Directory
  3. NPI Profile

EMILY BROOKE NULL PA-C
NPI 1720861206
Physician Assistant in Vienna, ID

Active since August 17, 2023PECOS Enrolled
6665 IL-146 E, VIENNA, ID 62995(618) 658-8331(618) 549-8434 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2026, May 13, 2025, Aug 17, 2023 (3 updates tracked since 2023).

About Emily Brooke Null Pa-c NPPES

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

EMILY BROOKE NULL PA-C (NPI 1720861206) is an individual physician assistant in Vienna, Idaho, licensed in Illinois (085.009966) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720861206
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMILY BROOKE NULLCredential: PA-C
Location Address6665 IL-146 EVienna, ID 62995-9998
Mailing Address6665 Il-146 EVienna, IL 62995-9998
Phone(618) 658-8331
Fax(618) 549-8434
Sole ProprietorNo
Enumeration DateAugust 17, 2023
Last NPPES UpdateMay 20, 20263 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1720861206 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 IL · 085.009966
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.
6665 IL-146 E, Vienna, ID 62995
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Brooke Null Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62995 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Emily Null's NPI number?

The NPI number for Emily Null is 1720861206. It was assigned to this individual provider in the NPPES registry on August 17, 2023.

Where is Emily Null located?

Emily Null practices at 6665 Il-146 E, Vienna, ID 62995. The listed phone number is (618) 658-8331.

What is Emily Null's specialty?

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

Is Emily Null enrolled in Medicare?

Yes. Emily Null is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emily Null was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.