Mitchel B Vellinga, CMA, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2771770 Issued in ID

Practice address

880 W Quinn Rd
Chubbuck, ID 83202-2454

Phone

(208) 238-2000

NPI assigned

Feb 27, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health West IncGroup PAC ID 4981500931, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Medical Assistant, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mitchel.vellinga.1@13153.direct.athenahealth.com
• Direct secure messaging: mitchel.vellinga.1@16258.direct.athenahealth.com

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.

• Health West, Inc.

  • Federally Qualified Health Center (FQHC)
  • Preston, ID
  • NPI 1033595541

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Health West, Inc.

  • Federally Qualified Health Center (FQHC)
  • Aberdeen, ID
  • NPI 1295734796

  Single Specialty

  NPD
• Health West, Inc.

  • Federally Qualified Health Center (FQHC)
  • Downey, ID
  • NPI 1588666945

  Single Specialty

  NPD
• Health West, Inc.

  • Federally Qualified Health Center (FQHC)
  • American Falls, ID
  • NPI 1629077235

  Single Specialty

  NPD
• Health West, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1740143882
  NPD
• Health West, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1912261413
  NPD
• Health West, Inc.

  • Federally Qualified Health Center (FQHC)
  • Pocatello, ID
  • NPI 1013547801
  NPD (past)
• Health West, Inc.

  • Federally Qualified Health Center (FQHC)
  • Chubbuck, ID
  • NPI 1629499751
  NPD (past)

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

• Pocatello Hospital LLC

  • Rehabilitation Hospital Unit
  • Pocatello, ID
  • NPI 1144262114
  Care Compare affiliation
• Pocatello Hospital LLC

  • General Acute Care Hospital
  • Pocatello, ID
  • NPI 1790751055
  Care Compare affiliation

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1184323438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S 11TH AVE STE 400",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W QUINN RD",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832022454",
            "telephone_number": "208-238-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELLINGA",
        "first_name": "MITCHEL",
        "middle_name": "B",
        "credential": "CMA, PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "2771770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Truesdell, PARAPROFESSIONAL
• Belinda Turley
• Leeann A Turpin, LCPC
• Casey Ulrich, M.S.CCC-SLP
• Rebecca Uses Arrow, BIS
• Geri Vialpando
• Kimberly Lind Wacaster, LCSW
• Jesse Sue Wageman, PHARMD
• Walgreen Co
• Walmart Inc.

• Physician Assistant in Chubbuck, ID
• Providers in Chubbuck, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.