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

Stacy I Summa, PAC

Individual provider Physician Assistant · NPI 1295722478

Stacy I Summa, PAC is a Physician Assistant in Nampa, Idaho. Graduated from Yale University School of Medicine in 2002, 24 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Idaho.

Years since qualifying
24
Trained at
Yale University School of Medicine
Licensed in
CA, ID
In the registry since
2005
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4424 E Flamingo Ave Ste 110
Nampa, ID 83687-9291
Phone: (208) 302-3200
Fax: (208) 302-3255
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 (1)

  • 875 S Vanguard Way Ste 200, Meridian, ID 83642-8542 — (208) 463-3219

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1787 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA16583 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA-1787 (ID)

Record details

NPI number1295722478
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 3, 2005
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Nampa