NPIMap

Individual provider Active NPI

Bret A Paulson, PA

  • Surgical Physician Assistant
  • Lewiston, ID
National Provider Identifier
1497837447
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA748 Issued in ID
Practice address
320 Warner Dr
Lewiston, ID 83501-4441
Phone
(208) 743-3523
Fax
(208) 746-8741
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA748 ID Primary
Medical Physician Assistant 363AM0700X PA706 NV

Addresses

Primary practice location

320 Warner Dr
Lewiston, ID 83501-4441

Mailing address

320 Warner Dr
Lewiston, ID 83501-4441
Phone (208) 743-3523

Other identifiers 2

IdentifierTypeStateIssuer
1679941553MedicaidID
1679941553MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081022000099 WA Practitioner - Physician Assistant 3274508551 Reassigns benefits to 2 organizations
I20081206000194 ID Practitioner - Physician Assistant 3274508551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catalyst Medical Group PLLCGroup PAC ID 2365722105, 31 clinicians
St Joseph Hospital LLCGroup PAC ID 8325325806, 91 clinicians

Practice addresses (Care Compare)

1221 Highland Ave
Clarkston, WA 99403-2829
Phone (208) 746-1383

2315 8TH St
Lewiston, ID 83501-7301
Phone (208) 746-1383

318 Warner Dr
Lewiston, ID 83501-4441
Phone (208) 298-1050

320 Warner Dr
Lewiston, ID 83501-4441
Phone (208) 743-3523

415 6TH St
Lewiston, ID 83501-2431

808 Port Dr
Clarkston, WA 99403-6009
Phone (208) 746-1383

821 21St Ave
Lewiston, ID 83501-6389
Phone (208) 799-3422

Hospital & facility affiliations

  • Tri-State Memorial Hospital Hospital, Clarkston, WA, CCN 501332
  • St Joseph Regional Medical Center Hospital, Lewiston, ID, CCN 130003
  • St Mary'S Hospital Hospital, Cottonwood, ID, CCN 131321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
706NVMDInternal Medicine Physician
PA706NVMDMedical Physician Assistant
PA748IDMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Medical Group, PLLC CurrentSince Jan 1, 2017 Accepting new patients
St Joseph Hospital LLC CurrentSince Sep 14, 2025 Accepting new patients
Renown Urgent Care LLC Past Accepting new patients
Medaisle Express, LLC Past Accepting new patients

Locations

320 Warner Dr
Lewiston, ID 83501
Phone (208) 298-1022

2315 8th St Grade
Lewiston, ID 83501
Phone (208) 746-1383

1174 Alturas Dr
Moscow, ID 83843
Phone (208) 743-3523

808 Port Dr
Clarkston, WA 99403
Phone (208) 746-1383

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

Interoperability endpoints

  • Direct secure messaging: bret.paulson.1@28344.direct.athenahealth.com
  • Direct secure messaging: bpaulson@cmgadmin.directmessaging.net
  • Direct secure messaging: bret.paulson.1@16883.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1497837447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 WARNER DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014441",
            "telephone_number": "208-743-3523",
            "fax_number": "208-746-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WARNER DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014441",
            "telephone_number": "208-743-3523",
            "fax_number": "208-746-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "BRET",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ID",
            "license": "PA748",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA706",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679941553",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679941553",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.