OrganizationActive
I Care Medical Clinic PA
NPI 1952654741 · Physician Assistant · Saint Anthony, ID
Provider details
- NPI number
- 1952654741
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jennifer Willmore, Owner(208) 624-4402
- License
- PA 519 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
430 N Bridge St
Saint Anthony, ID 83445-1425
Phone: (208) 624-4402
Fax: (208) 624-4409
Street-level locationGet directions
Mailing address
430 N Bridge St
Saint Anthony, ID 83445-1425
Registry dates
- Enumerated
- 2012-10-18
- Last updated
- 2013-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.