Liam Andrew Wickenburg
Physician Assistant · Meridian, ID
Liam Andrew Wickenburg is a physician assistant with a practice address in Meridian, Idaho, and NPI 1750074563, issued on May 29, 2023. Check the license (Idaho 8871273, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Liam Andrew Wickenburg
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 8871273 ID
Self-reported in NPPES; status is on the state search - Practice location
- 520 S Eagle RD Ste 1241, Meridian, ID 83642
- Phone
- (208) 381-6930
- Enumerated
- May 29, 2023
- Record last updated
- Oct 15, 2025
- Fax
- (208) 381-6931
- Medicare enrollment
- Enrolled (PECOS I20251028004965); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 1,250 in Idaho → Look up another NPI →
Also registered at 520 S Eagle RD Ste 1241
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Denise Cornejo-Vucovich, M.D.Surgery Physician1861668865
- Ethan Ferrel, MDSurgery Physician1073010054
- Tyler Gilliland, M.D.Surgery Physician1790217362
- Erin Grosslight, ACNPAcute Care Nurse Practitioner1518330281
- Rhoda Heaton, PAPhysician Assistant1700164092
- Britani Hill, MDSurgery Physician1275718595
Verify Liam Andrew Wickenburg in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license 8871273Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- St Lukes Clinic-Treasure Valley LLCMeridian, ID
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Liam Andrew Wickenburg among 1,250 physician assistant records in Idaho
Liam Andrew Wickenburg is one of 1,250 physician assistant records with a practice address in Idaho. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 88% of them.
- NPI issued2023 · 88% of these records are older, 5% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 77% of these records are
- Graduated2025 · median 2017 among the 961 with a school on file
- Record last updated2025 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
135 physician assistant records list a practice address in Meridian
They are 135 of the 2,980 NPPES records with a practice address in Meridian, and 1,250 physician assistant records in Idaho.
All 1,250 in Idaho → Every provider in Meridian → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Alexander Arhets, PA-CMeridian, ID 836421013956853
- Albert Bickford, PA-CMeridian, ID 836421124092101
- Rylan Chan, PACMeridian, ID 836421306874623
- Brandie Collins, PAMeridian, ID 836421124077151
- Stephen Frelly, PAMeridian, ID 836421114966959
- Brian Friedt, PHYSICIANS ASSISTANTMeridian, ID 836421568499713
- Jeremy Frix, PAMeridian, ID 836421164450862
- Rebecca Goodspeed, PAMeridian, ID 836421750327797
Common questions
What is Liam Andrew Wickenburg's NPI number?
Liam Andrew Wickenburg's National Provider Identifier (NPI) is 1750074563, issued on May 29, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Liam Andrew Wickenburg located?
The NPPES record lists a practice address at 520 S Eagle RD Ste 1241, Meridian, ID, 83642. Phone: (208) 381-6930. Providers update this record themselves, so call before visiting.
How can I verify Liam Andrew Wickenburg's license?
NPPES lists Idaho license number 8871273, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.