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

Lisa A Bosworth, PA

Individual provider Physician Assistant · NPI 1730372756

Lisa A Bosworth, PA is a Physician Assistant in Pocatello, Idaho. Qualified in 2007, 19 years ago. Practices with Family Practice Group, PA, a 14-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
19
Licensed in
ID
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.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1951 Bench Rd Ste B
Pocatello, ID 83201-2073
Phone: (208) 238-1000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 110 Vista Dr, Pocatello, ID 83201-5824 — (208) 234-2300
  • 444 Hospital Way Ste 777, Pocatello, ID 83201-2744 — (208) 239-1650

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-692 (ID)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1730372756
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 22, 2007
Last updated in NPPESFebruary 14, 2024
Certification dateFebruary 14, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Family Practice Group, P.A. — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pocatello