Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mikayla Dawn Miller, PA-C

Individual provider Physician Assistant · NPI 1336821891

Mikayla Dawn Miller, PA-C is a Physician Assistant in Fruitland, Idaho. Qualified in 2025, 1 year ago. Practices with Saint Alphonsus Medical Center- Ontario Inc, a 41-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2023
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 205
Fruitland, ID 83619-2265
Phone: (208) 452-8100
Fax: (208) 452-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 510 N 2nd St Ste 103, Boise, ID 83702-6081 — (208) 381-4700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (ID)

Record details

NPI number1336821891
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 3, 2023
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Saint Alphonsus Medical Center- Ontario Inc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Fruitland