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Active NPI 1861121436 Individual Practitioner Male Practitioner

John Ervin Smith , PA-C

Physician Assistant • Nampa, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

John Smith, PA-C is a certified Physician Assistant practicing in Nampa, ID. With approximately 2 years of clinical experience since completing medical education in 2024, John Smith delivers high-quality medical care to the local community at 700 CALDWELL BLVD.

John Smith is affiliated with Alliance Medical Group Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

700 Caldwell Blvd

Nampa, ID 836511707

Telephone 2088092892
Fax 2088092893
Associated Practice Facility / Clinic
🏢 Alliance Medical Group, Llc Facility NPI 1457032138

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Nampa, ID

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -7.8 yrs vs City Avg
City Avg: 9.8 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
96 Specialists

Practicing in Nampa, ID (1261 Statewide)

Telehealth Adoption Rate
13.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (2 Years) 2 Yrs
Nampa Specialty Average (9.8 Years) 9.8 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-02-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Physicians Assistant License
3361575 (ID)

Hospital & Practice Group Affiliations

Alliance Medical Group Llc

6052 W State St, Boise, ID 837032739

Phone: 2089471947

Alliance Medical Group Llc

1474 N Meridian Rd, Kuna, ID 836342041

Phone: 2088092885

Alliance Medical Group Llc

4971 W Overland Rd, Boise, ID 837052822

Phone: 2084725050

Alliance Medical Group Llc

1375 N Happy Valley Rd, Nampa, ID 836875280

Phone: 2088092869

Alliance Medical Group Llc

10482 W Carlton Bay Dr, Garden City, ID 837145143

Phone: 2089556500

Alliance Medical Group Llc

1900 W Chinden Blvd, Meridian, ID 836466690

Phone: 2088092860

Alliance Medical Group Llc

8971 W Overland Rd, Boise, ID 837091651

Phone: 2083784288

Alliance Medical Group Llc

1820 Caldwell Blvd, Nampa, ID 836511505

Phone: 2084666567

Alliance Medical Group Llc

512 N 21st Ave, Caldwell, ID 836054368

Phone: 2088092875

Alliance Medical Group Llc

700 Caldwell Blvd, Nampa, ID 836511707

Phone: 2088092892

Alliance Medical Group Llc

11197 W Fairview Ave, Boise, ID 837137935

Phone: 2083788011

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Sydney Brown , DNP-APRN

Nurse Practitioner

NPI 1053004879

DNPAPRN

Jennifer Herrera

Physician Assistant

NPI 1174291348
Patrick Castellano , PA-C

Physician Assistant

NPI 1689856809

Physician Assistant (Certified)

NPI 1801984125

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address February 17, 2025

Registered at PO BOX 191050, BOISE, ID 837191050 (Tel: 2089556500)

📍
Updated Practice Location August 28, 2024

Registered at 700 CALDWELL BLVD, NAMPA, ID 836511707 (Tel: 2088092892)

📍
Updated Business Mailing Address August 28, 2024

Registered at 700 CALDWELL BLVD, NAMPA, ID 836511707 (Tel: 2088092892)

👤
Provider Name / Credentials Updated August 28, 2024

Recorded as JOHN SMITH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2024

Physician Assistant

NPI Profile Active June 08, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2022

Registered at 921 S 8TH AVE STOP 8253, POCATELLO, ID 832090002 (Tel: 2082824726)

📍
Updated Business Mailing Address June 08, 2022

Registered at 921 S 8TH AVE STOP 8253, POCATELLO, ID 832090002 (Tel: 2082824726)

👤
Provider Name / Credentials Updated June 08, 2022

Recorded as JOHN SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 08, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861121436
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2022
Last Update: February 17, 2025
Sole Proprietor: No

Mailing Address

Po Box 191050

Boise, ID 837191050

Phone: 2089556500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.