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

Vitaliy Nebyshinets

Individual provider Physician Assistant · NPI 1366846636

Vitaliy Nebyshinets is a Physician Assistant in Nampa, Idaho. Qualified in 2014, 12 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
12
Licensed in
ID, WA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

215 E Hawaii Ave
Nampa, ID 83686-6011
Phone: (208) 463-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1601 E 4th Plain Blvd, Vancouver, WA 98661-3753 — (360) 852-9070

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2179 (ID)
Physician Assistant Taxonomy 363A00000X · Licence 60502966 (WA)

Record details

NPI number1366846636
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 15, 2014
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Nampa