Levi Jeppson, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

7661573 Issued in ID

Practice address

320 Warner Dr
Lewiston, ID 83501-4441

Phone

(208) 743-3523

NPI assigned

Jul 19, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID, WA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2024

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, shared by 6 NPIs, 91 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tri-State Memorial Hospital Hospital, Clarkston, WA, CCN 501332
• St Joseph Regional Medical Center Hospital, Lewiston, ID, CCN 130003
• St Mary'S Hospital Hospital, Cottonwood, ID, CCN 131321

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: levi.jeppson.1@28344.direct.athenahealth.com
• Direct secure messaging: levi.jeppson.1@16883.direct.athenahealth.com

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.

• Catalyst Medical Group, PLLC

  • Multi-Specialty Clinic/Center
  • Lewiston, ID
  • NPI 1912458787

  WA

  Medicare reassignment Care Compare group NPD
• St Joseph Hospital LLC

  • Internal Medicine Physician
  • Lewiston, ID
  • NPI 1043744287

  WA

  Medicare reassignment NPD
• St Joseph Hospital LLC

  • Internal Medicine Physician
  • Lewiston, ID
  • NPI 1205368404
  Medicare reassignment NPD
• Tri-State Memorial Hospital

  • Critical Access Hospital
  • Clarkston, WA
  • NPI 1598814352
  Medicare reassignment NPD
• Tri-State Memorial Hospital

  • Community Based Hospice Care Agency
  • Clarkston, WA
  • NPI 1831100254
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Joseph Hospital LLC

  • Oxygen Equipment & Supplies (DME)
  • Lewiston, ID
  • NPI 1992231799

  Hospital

  Care Compare affiliation
• St. Joseph Hospital LLC

  • General Acute Care Hospital
  • Lewiston, ID
  • NPI 1225090954
  Care Compare affiliation
• St. Mary'S Hospital Inc

  • Family Medicine Physician
  • Cottonwood, ID
  • NPI 1174577100

  Hospital

  Care Compare affiliation
• St. Mary'S Hospital Inc

  • Durable Medical Equipment & Medical Supplies
  • Cottonwood, ID
  • NPI 1174673552

  Hospital

  Care Compare affiliation
• St. Mary'S Hospital Inc

  • Family Medicine Physician
  • Nezperce, ID
  • NPI 1366480394

  Hospital

  Care Compare affiliation
• St. Mary'S Hospital Inc

  • Family Medicine Physician
  • Kamiah, ID
  • NPI 1568400562

  Hospital

  Care Compare affiliation
• St. Mary'S Hospital Inc

  • Family Medicine Physician
  • Craigmont, ID
  • NPI 1770521817

  Hospital

  Care Compare affiliation
• St. Mary'S Hospital Inc

  • Critical Access Hospital
  • Cottonwood, ID
  • NPI 1841292307
  Care Compare affiliation
• Tri-State Memorial Hospital

  • Critical Access Hospital
  • Clarkston, WA
  • NPI 1760485221
  Care Compare affiliation
• Tri-State Memorial Hospital

  • Family Medicine Physician
  • Clarkston, WA
  • NPI 1932405693

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1992485544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 8TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835017301",
            "telephone_number": "208-746-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WARNER DR",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835014441",
            "telephone_number": "208-743-3523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1174 Alturas Drive",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "83843",
            "country_code": "US",
            "telephone_number": "208-743-3523",
            "fax_number": "833-941-3874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2315 8th St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835017301",
            "country_code": "US",
            "telephone_number": "208-298-3094",
            "fax_number": "833-941-3874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEPPSON",
        "first_name": "LEVI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-19",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ID",
            "license": "7661573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn E Jefferson Jr., MD
• John Adam Jelinek, MD
• Billy Gerald Jenkins
• Breanna Kristine Jenks, COTA/L
• Christine A Jensen, MPS,BS,AS
• Joan P Burrow DC LLC
• Amy Edwardson Johannesen, M.A., LPC, LMHC
• John J Johnson DDS PC
• John S Kundrat, MD PA
• John T Rietz

• Surgical Physician Assistant in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Surgical Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.

Verify at the official NPI Registry.