Active NPI
Jakeb K Searle, PA-C
- Physician Assistant
- Caldwell, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-1153
- Practice address
- 315 E Elm Street
Ste 100
Caldwell, ID 83605 - Phone
- (208) 302-7100
- Fax
- (208) 302-7155
- NPI assigned
- Jul 24, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA60306120 | WA | |
| Physician Assistant | 363A00000X | PA-1153 | ID | Primary |
Addresses
Primary practice location
315 E Elm Street
Ste 100
Caldwell, ID 83605
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (208) 302-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA60306120 | Other | WA | WA LICENSE |
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10717 W State St
Star, ID 83669-6046
Phone (208) 302-6300
11035 Karcher Rd
Nampa, ID 83651-8200
Phone (208) 302-2100
215 E Hawaii Ave
Nampa, ID 83686-6011
3025 W Cherry LN
Meridian, ID 83642-8531
6022 W Emerald St
Boise, ID 83704-8855
Phone (208) 367-4603
6094 W Emerald St
Boise, ID 83704-8855
Phone (208) 302-1000
712 Aviation Way
Caldwell, ID 83605-1154
Phone (208) 302-1035
867 S Vanguard Way
Meridian, ID 83642-7552
Phone (208) 302-7950
Hospital & facility affiliations
- Saint Alphonsus Regional Medical Center
- Saint Alphonsus Medical Center - Nampa
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-1153 | ID | MD | Physician Assistant |
| PA60306120 | WA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Medical Center- Ontario Inc | Current | Accepting new patients | |
| Saint Alphonsus Medical Center- Ontario Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Physician Assistant | Current | Accepting new patients |
Locations
1072 N Liberty St
Ste 203
Boise, ID 83704
Phone (208) 302-5800
315 E Elm St
Ste 100
Caldwell, ID 83605
Phone (208) 302-7100
3217 W Bavaria St
Eagle, ID 83616
Phone (208) 286-6676
1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338
910 NW 16th St
Ste 101
Fruitland, ID 83619
Phone (208) 452-8000
3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400
3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
Interoperability endpoints
- jsearle1564266@direct.trinity-health.org
Organizations & group practices 5
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.
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Internal Medicine Physician
- Ontario, OR
- NPI 1093034159
ID
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Physician Assistant
-
- General Acute Care Hospital
- Ontario, OR
- NPI 1891891792
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Nampa, ID
- NPI 1659371870
-
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1801142146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 E GOLDSTONE WAY",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836421026",
"telephone_number": "208-302-7100",
"fax_number": "208-302-7155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E ELM STREET",
"address_2": "STE 100",
"city": "CALDWELL",
"state": "ID",
"postal_code": "83605",
"telephone_number": "208-302-7100",
"fax_number": "208-302-7155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARLE",
"first_name": "JAKEB",
"middle_name": "K",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-24",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA60306120",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-1153",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LICENSE",
"identifier": "PA60306120",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caldwell, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.