Davis Jordon Everton, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-2509 Issued in ID

Practice address

1115 12TH Ave Rd
Nampa, ID 83686-5738

Phone

(208) 498-1080

Fax

(208) 498-1081

NPI assigned

May 31, 2023

Last updated

Dec 8, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic and Fracture Clinic PAGroup PAC ID 7810800398, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Valley Medical Center Hospital, Caldwell, ID, CCN 130014

Merit-based Incentive Payment System (MIPS)

Final score

84.87 of 100Reported as group

Quality

77.29

Promoting interoperability

97

Improvement activities

40

Cost

74.78

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthopedic & Fracture Clinic PA

  dba West Idaho Orthopedics & Sports Medicine

  • Specialist
  • Caldwell, ID
  • NPI 1184739351
  Medicare reassignment Care Compare group
• Richard Lochhead MD PLLC

  • Neurological Surgery Physician
  • Boise, ID
  • NPI 1588063168
  NPD (past)

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

• West Valley Medical Center Inc

  • General Acute Care Hospital
  • Middleton, ID
  • NPI 1609818483
  Care Compare affiliation
• West Valley Medical Center, Inc.

  dba West Valley Medical Center

  • General Acute Care Hospital
  • Caldwell, ID
  • NPI 1891732905
  Care Compare affiliation

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1992498497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191050",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837191050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865738",
            "telephone_number": "208-498-1080",
            "fax_number": "208-498-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERTON",
        "first_name": "DAVIS",
        "middle_name": "JORDON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur L Evans, LMSW
• Jaclyn Evans
• Jacob Russell Evans
• Laurel Evans, ATC
• Mark Evans, DMD
• Everything Cpap, LLC
• Evolving Minds Mental Health
• Eyecare Associates of Nampa PA
• Eyemart Express LLC
• Eyemart Express, LTD

• Physician Assistant in Nampa, ID
• Providers in Nampa, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.