Individual provider · Type 1 NPI

Samantha Marie Nizich, PA-C

Physician Assistant · Boise, ID

NPI number 1659244127 Active

Practice location

300 E Jefferson St
Boise, ID 83712-6246

Call (208) 322-1680 Map

Fax (208) 322-1695

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5171784 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1659244127

Samantha Marie Nizich, PA-C's National Provider Identifier is 1659244127, issued on Sep 29, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Jan 21, 2026.