Michael Kenneth Wucinich, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1274 Issued in ID

Practice address

118 9TH Ave N
Twin Falls, ID 83301-6352

Phone

(208) 537-7800

NPI assigned

Aug 28, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

ZXM Psychiatry PCGroup PAC ID 4385061852, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002

Merit-based Incentive Payment System (MIPS)

Final score

85.09 of 100Reported as group

Quality

77.1

Promoting interoperability

100

Improvement activities

40

Cost

73.19

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwucinich33280@direct.slhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• ZXM Psychiatry PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Twin Falls, ID
  • NPI 1316564891
  Medicare reassignment Care Compare group NPD
• North Canyon Medical Center Inc.

  • Critical Access Hospital
  • Gooding, ID
  • NPI 1609046671
  Medicare reassignment NPD
• FPM PLLC

  • Physician Assistant
  • Twin Falls, ID
  • NPI 1518813245
  NPD (past) Authorized official
• North Canyon Medical Center, Inc.

  • Rural Health Clinic/Center
  • Gooding, ID
  • NPI 1518377019
  NPD
• North Canyon Medical Center, Inc.

  • Radiology Clinic/Center
  • Twin Falls, ID
  • NPI 1700641636
  NPD
• St Luke'S Magic Valley Regional Medical Center LTD

  • Community/Retail Pharmacy
  • Twin Falls, ID
  • NPI 1760203921
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Luke'S Magic Valley Regional Medical Center, LTD.

  • General Acute Care Hospital
  • Twin Falls, ID
  • NPI 1932154705
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1407223274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 WASHINGTON ST N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013802",
            "telephone_number": "208-210-4325",
            "fax_number": "208-415-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 9TH AVE N",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833016352",
            "telephone_number": "208-537-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "585 Washington St N",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833013802",
            "country_code": "US",
            "telephone_number": "208-210-4325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUCINICH",
        "first_name": "MICHAEL",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-28",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "PA-1274",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "1274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Wright, LMSW
• Margaret Wright, M.S., CF-SLP
• Mark B Wright, M.D.
• Mark Wayne Wright, MD
• Wayne Wright, M.D.
• Clark Joseph Wyatt, NP-C
• Katie Marie Wyatt, NP-C
• Sutherland Wyatt, DPT
• Nickolas David Wynn, PHARMD
• Xavier Charter School District 462

• Medical Physician Assistant in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Medical Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.