Individual provider Active NPI

Jared Fielding, PA

  • Physician Assistant
  • Lewiston, ID
National Provider Identifier
1710756325
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2315 8TH St
Lewiston, ID 83501-7301
Phone
(208) 298-3094
Fax
(833) 941-3874
NPI assigned
Dec 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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 Primary

Addresses

Primary practice location

2315 8TH St
Lewiston, ID 83501-7301

Mailing address

931 Cypress St
Lewiston, ID 83501-4775

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
I20240822004161 ID Practitioner - Physician Assistant 5698217107 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
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)

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

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince May 30, 2024 Accepting new patients
Catalyst Medical Group, PLLC CurrentSince Aug 12, 2024 Accepting new patients
Mountain View Hospital LLC CurrentSince Aug 1, 2025 Accepting new patients
Mountain View Hospital Physician Organization Past Accepting new patients

Locations

3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

2730 Channing Way
Idaho Falls, ID 83404
Phone (208) 542-7100

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

404 N 2nd E
Rexburg, ID 83440
Phone (208) 359-1770

167 E 1st S
Rigby, ID 83442
Phone (208) 745-8747

9532 Eagle Way
Chicago, IL 60678

155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

Interoperability endpoints

  • Direct secure messaging: jared.fielding.1@28344.direct.athenahealth.com
  • Direct secure messaging: jared.fielding.1@16883.direct.athenahealth.com

Organizations & group practices 6

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": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1710756325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 CYPRESS ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 8TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835017301",
            "telephone_number": "208-298-3094",
            "fax_number": "833-941-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDING",
        "first_name": "JARED",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-22",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ID

Sources for this page

Verify at the official NPI Registry.