Active NPI
Jared Fielding, PA
- Physician Assistant
- Lewiston, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
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 | 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Catalyst Medical Group, PLLC | Current | Accepting new patients | |
| Mountain View Hospital LLC | Current | 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
- jared.fielding.1@28344.direct.athenahealth.com
- 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.
-
- Multi-Specialty Clinic/Center
- Lewiston, ID
- NPI 1912458787
-
- Internal Medicine Physician
- Lewiston, ID
- NPI 1205368404
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
-
- Hospitalist Physician
- Idaho Falls, ID
- NPI 1740715507
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1073834529
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.