Individual provider Active NPI

Jock C Perkins, PA-C

  • Physician Assistant
  • Nampa, ID
National Provider Identifier
1306248778
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-1589 Issued in ID
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

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180316002074 ID Practitioner - Physician Assistant 8527280403 Reassigns benefits to 2 organizations

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
Comprehensive Dermatology of Idaho, PLLCGroup PAC ID 4688833650, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Redding Dermatology Medical Group, Inc. PastSince Aug 11, 2024 Accepting new patients
Stephen William Doggett, M.D. PA PastSince May 1, 2025 Accepting new patients
D Peter Reedy MD PA PastSince Oct 27, 2003 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.

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

Verify at the official NPI Registry.