Active NPI
William J Jensen, PA-C
- Medical Physician Assistant
- Meridian, ID
National Provider Identifier
1093805467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA-618
- Practice address
- 1828 S Millenium Way Ste 300
Meridian, ID 83642-5036 - Phone
- (208) 895-8775
- Fax
- (208) 895-1775
- NPI assigned
- Oct 13, 2006
- Last updated
- Feb 5, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA-618 | ID | Primary |
Addresses
Primary practice location
1828 S Millenium Way Ste 300
Meridian, ID 83642-5036
Mailing address
1828 S Millenium Way Ste 300
Meridian, ID 83642-5036
Phone (208) 895-8775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1828 S Millennium Way
Suite 300
Meridian, ID 83642
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bear Lake County Memorial Hospital | Past | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFGHAD
- https://fhir4.healow.com/fhir/r4/BFGHAD/Endpoint/BFGHAD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bear Lake Internal Medicine
- Internal Medicine Physician
- Montpelier, ID
- NPI 1174741441
-
dba St Lukes Meridian Medical Center
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1093805467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1828 S MILLENIUM WAY STE 300",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425036",
"telephone_number": "208-895-8775",
"fax_number": "208-895-1775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1828 S MILLENIUM WAY STE 300",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425036",
"telephone_number": "208-895-8775",
"fax_number": "208-895-1775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENSEN",
"first_name": "WILLIAM",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ID",
"license": "PA-618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
- Laurie Anne Jensen, PH.D.
- Madison Jensen, LPC
- Nikkala Rene Jensen
- Patricia Jensen, LPN
- Rikki Victoria Clemens Jensen, MA, LPC
- Mark A Jepson, NP
- Allison Janina Lyn Jespersen, BEHAVIOR TECHNICIAN
- David Vereen Jessop Jr., DOCTOR OF CHIROPRACT
- JFF Medical, LLC (Seasons Advanced Wound Care)
- JHKK Periodontics, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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; Opt Out Affidavits.
- 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.