Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anne Ingram, PA-C

Individual provider Physician Assistant · NPI 1598008419

Anne Ingram, PA-C is a Physician Assistant in Fruitland, Idaho. Qualified in 2012, 14 years ago. Practices with Saint Alphonsus Medical Center- Ontario Inc, a 41-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
14
Licensed in
ID
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

910 NW 16th St Ste 101
Fruitland, ID 83619
Phone: (208) 452-8000
Fax: (208) 452-8055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1031 (ID)

Record details

NPI number1598008419
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 28, 2013
Last updated in NPPESNovember 9, 2016
Mailing address3340 E Goldstone Way, Meridian, ID 83642-1026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Saint Alphonsus Medical Center- Ontario Inc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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