Active NPI
William Hatch, PA
- Physician Assistant
- Nampa, ID
National Provider Identifier
1609865633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA496
- Practice address
- 215 E Hawaii Ave
Nampa, ID 83686-6011 - Phone
- (208) 463-3000
- Fax
- (208) 463-3034
- NPI assigned
- Oct 21, 2005
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA496 | ID | Primary |
Addresses
Primary practice location
215 E Hawaii Ave
Nampa, ID 83686-6011
Mailing address
217 W Georgia Ave
Ste 115
Nampa, ID 83686-6811
Phone (208) 463-3000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010149234 | Other | ID | BLUE SHIELD |
| P00182711 | Other | ID | RAILROAD MEDICARE |
| PATF5 | Other | ID | BLUE CROSS |
| 000010149235 | Other | ID | BLUE SHIELD |
| PASU1 | Other | ID | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1616 | AZ | MD | Optometrist |
| PA496 | ID | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1609865633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 W GEORGIA AVE",
"address_2": "STE 115",
"city": "NAMPA",
"state": "ID",
"postal_code": "836866811",
"telephone_number": "208-463-3000",
"fax_number": "208-463-3034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 E HAWAII AVE",
"city": "NAMPA",
"state": "ID",
"postal_code": "836866011",
"telephone_number": "208-463-3000",
"fax_number": "208-463-3034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "WILLIAM",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA496",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010149234",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00182711",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "PATF5",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010149235",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "PASU1",
"state": "ID"
}
],
"endpoints": [],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.