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

Audra J Rose, PA

Individual provider Physician Assistant · NPI 1487877619

Audra J Rose, PA is a Physician Assistant in Idaho Falls, Idaho. Qualified in 2006, 20 years ago. Practices with Women's Healthcare Associates, PA, a 15-clinician group and accepts Medicare assignment. Licensed in Idaho and Wyoming.

Years since qualifying
20
Licensed in
ID, WY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3450 Potomac Way
Idaho Falls, ID 83404-7407
Phone: (208) 557-2900
Fax: (208) 557-2910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence M6628 (ID)
Physician Assistant Taxonomy 363A00000X · Licence TL403 (WY)

Record details

NPI number1487877619
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESDecember 29, 2023
Certification dateDecember 29, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Women'S Healthcare Associates, P.A. — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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