Jason S Phillips, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA-1735 Issued in ID

Practice address

2301 W a St
Moscow, ID 83843-4038

Phone

(208) 883-1135

Fax

(208) 892-0174

NPI assigned

Nov 16, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID, KY2 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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gritman Medical Center IncGroup PAC ID 4981984390, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gritman Medical Center Hospital, Moscow, ID, CCN 131327

Merit-based Incentive Payment System (MIPS)

Final score

85.09 of 100Reported as group

Quality

77.1

Promoting interoperability

100

Improvement activities

40

Cost

73.19

Merit-based Incentive Payment System (MIPS)

Final score

48.31 of 100Reported as group

Quality

45.81

Promoting interoperability

0

Improvement activities

40

Cost

65.23

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Gritman Medical Center Inc

  • Rural Health Clinic/Center
  • Troy, ID
  • NPI 1477004828
  Medicare reassignment Care Compare group NPD (past)
• Gritman Medical Center Inc

  • Critical Access Hospital
  • Moscow, ID
  • NPI 1619988144
  Medicare reassignment NPD
• Ohio County Hospital Corporation

  • Surgery Physician
  • Hartford, KY
  • NPI 1407049000
  Medicare reassignment NPD
• Sciuridae Boyz, PLLC

  • Orthopaedic Surgery Physician
  • Twin Falls, ID
  • NPI 1780366195
  Medicare reassignment
• Gritman Medical Center Inc

  • Neurological Surgery Physician
  • Moscow, ID
  • NPI 1487428447
  NPD
• Gritman Medical Center Inc

  • Pulmonary Disease Physician
  • Moscow, ID
  • NPI 1932769700
  NPD
• Gritman Medical Center Inc.

  • Clinic/Center
  • Moscow, ID
  • NPI 1790182590
  NPD
• Ohio County Hospital Corporation

  • Emergency Medicine Physician
  • Hartford, KY
  • NPI 1386764678
  NPD
• Ohio County Hospital Corporation

  • Gastroenterology Physician
  • Owensboro, KY
  • NPI 1437961828
  NPD
• Ohio County Hospital Corporation

  • Internal Medicine Physician
  • Hartford, KY
  • NPI 1922281955
  NPD
• Gritman Medical Center, Inc.

  • Family Medicine Physician
  • Moscow, ID
  • NPI 1538634522
  NPD (past)
• Center for Orthopedic Research and Education, LLC

  • Orthopaedic Surgery Physician
  • Phoenix, AZ
  • NPI 1427095801

  Physician Assistant

  NPD (past)

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

• Gritman Medical Center Inc

  • Critical Access Hospital
  • Moscow, ID
  • NPI 1619988144
  Care Compare affiliation
• Gritman Medical Center Inc.

  • Clinic/Center
  • Moscow, ID
  • NPI 1790182590

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1992878946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8007",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838430507",
            "telephone_number": "208-883-1135",
            "fax_number": "208-892-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W A ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838434038",
            "telephone_number": "208-883-1135",
            "fax_number": "208-892-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JASON",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "ID",
            "license": "PA-1735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167341",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carmen Perez
• Byron Perkins
• Michelle Lynn Perri
• Wayne Michael Peterson, DMD
• Dianne Ladon Phillips-Miller, PH.D.
• Maria Andriette Pieron
• Jakub Pijor, ATC, LAT
• Spencer Pike
• Crystal M Pitts, BCBA, LBA
• Dalton Tanner Pitts

• Surgical Physician Assistant in Moscow, ID
• Providers in Moscow, 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 Feb 27, 2026; 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.