NPIMap

Individual provider Active NPI

Derrick A Rowe, PA-C

  • Physician Assistant
  • Boise, ID
National Provider Identifier
1851624340
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-1399 Issued in ID
Practice address
510 N 2ND St Ste 103
Boise, ID 83702-6081
Phone
(208) 381-4700
Fax
(208) 381-4977
NPI assigned
Sep 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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 580 MT
Physician Assistant 363A00000X PA-1399 ID Primary

Addresses

Primary practice location

510 N 2ND St Ste 103
Boise, ID 83702-6081

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice location 1

935 Highland Blvd Ste 2160
Bozeman, MT 59715-6913
Phone (406) 556-5300

Other practice location 2

805 N 6th E
Mountain Home, ID 83647-2207
Phone (208) 587-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161103001387 ID Practitioner - Physician Assistant 9234285784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

510 N 2ND St
Suite 103
Boise, ID 83702-6081
Phone (208) 381-4700

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

805 N 6TH
Mountain Home, ID 83647-2207
Phone (208) 587-2450

895 N 6TH
Mountain Home, ID 83647-2207
Phone (208) 587-8401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
81.29
Promoting interoperability
100
Improvement activities
40
Cost
76.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Oct 1, 2016 Accepting new patients

Locations

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

510 N 2nd St
Ste 103
Boise, ID 83702
Phone (208) 381-4700

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

805 N 6th E
Mt Home, ID 83647
Phone (208) 587-2450

Interoperability endpoints

  • Direct secure messaging: drowe77724@direct.slhs.org

Organizations & group practices 1

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 6

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": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1851624340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N 2ND ST STE 103",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026081",
            "telephone_number": "208-381-4700",
            "fax_number": "208-381-4977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 Highland Blvd Ste 2160",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597156913",
            "country_code": "US",
            "telephone_number": "406-556-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 N 6th E",
            "address_purpose": "LOCATION",
            "city": "Mountain Home",
            "state": "ID",
            "postal_code": "836472207",
            "country_code": "US",
            "telephone_number": "208-587-2450",
            "fax_number": "208-587-2451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWE",
        "first_name": "DERRICK",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-15",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "580",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.