Individual provider Active NPI

Joseph Robinson, PA

  • Physician Assistant
  • Nampa, ID
National Provider Identifier
1710315577
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-1105 Issued in ID
Practice address
1150 N Sister Catherine Way
Nampa, ID 83687-3133
Phone
(208) 302-7050
Fax
(208) 302-7055
NPI assigned
Oct 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA-1105 ID Primary

Addresses

Primary practice location

1150 N Sister Catherine Way
Nampa, ID 83687-3133

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170

Other practice location 1

12273 W McMillan Rd
Boise, ID 83713
Phone (208) 367-6330

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
I20131127001043 ID Practitioner - Physician Assistant 8022244821 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Alphonsus Regional Medical Center IncGroup PAC ID 3476462359, 672 clinicians
Teton Radiology CaldwellGroup PAC ID 2365892742, 16 clinicians

Practice addresses (Care Compare)

215 E Hawaii Ave
Nampa, ID 83686-6011

3025 W Cherry LN
Meridian, ID 83642-8531

4519 Enterprise Way
Caldwell, ID 83605-8055
Phone (208) 454-0742

712 Aviation Way
Caldwell, ID 83605-1154
Phone (208) 302-1035

Hospital & facility affiliations

  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Apr 1, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Apr 7, 2014 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince Apr 1, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Physician Assistant CurrentSince Apr 7, 2014 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Past Accepting new patients
Cache Valley Vein Past Accepting new patients

Locations

6140 W Curtisian Ave
Ste 300
Boise, ID 83704
Phone (208) 367-6575

12273 W McMillan Rd
Boise, ID 83713
Phone (208) 302-5500

1072 N Liberty St
Ste 203
Boise, ID 83704
Phone (208) 302-5800

323 E Riverside Dr
Ste 224
Eagle, ID 83616
Phone (208) 302-6000

3217 W Bavaria St
Eagle, ID 83616
Phone (208) 286-6676

910 NW 16th St
Ste 101
Fruitland, ID 83619
Phone (208) 452-8000

3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

215 E Hawaii Ave
Nampa, ID 83686
Phone (208) 463-3234

1150 N Sister Catherine Way
Nampa, ID 83687
Phone (208) 302-7000

Interoperability endpoints

  • Direct secure messaging: jrobinson3273409@direct.trinity-health.org

Organizations & group practices 11

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 5

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": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1710315577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N SISTER CATHERINE WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836873133",
            "telephone_number": "208-302-7050",
            "fax_number": "208-302-7055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12273 W McMillan Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "83713",
            "country_code": "US",
            "telephone_number": "208-367-6330",
            "fax_number": "208-367-4765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JOSEPH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-14",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.