Active NPI
Jock C Perkins, PA-C
- Physician Assistant
- Nampa, ID
National Provider Identifier
1306248778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-1589
- Practice address
- 16111 N Brinson St Ste 100
Nampa, ID 83687-5509 - Phone
- (208) 467-7546
- Fax
- (208) 467-7500
- NPI assigned
- Sep 17, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-1589 | ID | Primary |
Addresses
Primary practice location
16111 N Brinson St Ste 100
Nampa, ID 83687-5509
Mailing address
16111 N Brinson St Ste 100
Nampa, ID 83687-5509
Phone (208) 467-7546
Other practice location 1
211 Forest St
McCall, ID 83638-5256
Phone (208) 467-7546
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jperkins@dermidaho.ezderm.info | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16111 N Brinson St
Nampa, ID 83687-5509
Phone (208) 467-7546
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redding Dermatology Medical Group, Inc. | Past | Accepting new patients | |
| Stephen William Doggett, M.D. PA | Past | Accepting new patients | |
| D Peter Reedy MD PA | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Dermatology Physician
- Nampa, ID
- NPI 1386921294
-
- Dermatology Physician
- Meridian, ID
- NPI 1598271645
-
- Neurological Surgery Physician
- Boise, ID
- NPI 1124226378
-
- Dermatology Physician
- Medford, OR
- NPI 1336979046
-
- Radiation Oncology Physician
- Newport Beach, CA
- NPI 1427281666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748304000000",
"number": "1306248778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16111 N BRINSON ST STE 100",
"city": "NAMPA",
"state": "ID",
"postal_code": "836875509",
"telephone_number": "208-467-7546",
"fax_number": "208-467-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16111 N BRINSON ST STE 100",
"city": "NAMPA",
"state": "ID",
"postal_code": "836875509",
"telephone_number": "208-467-7546",
"fax_number": "208-467-7500"
}
],
"practiceLocations": [
{
"address_1": "211 Forest St",
"address_purpose": "LOCATION",
"city": "McCall",
"state": "ID",
"postal_code": "836385256",
"country_code": "US",
"telephone_number": "208-467-7546",
"fax_number": "208-467-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERKINS",
"first_name": "JOCK",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-17",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-1589",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jperkins@dermidaho.ezderm.info",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "16111 N Brinson St Ste 100",
"city": "Nampa",
"state": "ID",
"country_code": "US",
"postal_code": "836875509",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.