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

Mr. Michael Kenneth Wucinich, PA-C

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1407223274

Mr. Michael Kenneth Wucinich, PA-C is a Physician Assistant in Twin Falls, Idaho. Qualified in 2013, 13 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
13
Licensed in
ID
In the registry since
2015
Specialties on file
2
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

118 9th Ave N
Twin Falls, ID 83301-6352
Phone: (208) 537-7800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 585 Washington St N, Twin Falls, ID 83301-3802 — (208) 210-4325

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1274 (ID)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence PA-1274 (ID)

Record details

NPI number1407223274
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 28, 2015
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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