● Active Type 1 · Individual

Noah Bernal

Medical (Physician Assistant)·Idaho Falls, ID· NPI 1003461401 · Enumerated 2019 · 7 years on NPI

Bernal is 1 of 43 medical (physician assistant) providers in Idaho Falls and 1 of 400 in Idaho.

NPI age

7 years

Enumerated 2019-08-03

Primary specialty

Medical (Physician Assistant)

Plus 2 subspecialties

Licensed in

NU, ID

2 states

Status

Active

No deactivations on record

Last NPPES update

2024-08-21

Source: CMS NPPES provider record

Sole proprietor

Yes

Solo practice on file

How this provider compares

Across 400 active medical (physician assistant) providers in Idaho.

NPI age

7 years

↓ 9 yr below median (16 yr)

State licenses

2 states

Top 79% — 20% of peers are multi-state

Subspecialties

In the 29% of peers with subspecialties

NPI lifetime · 2019 → 2024

2019-08Enumerated in NPPES

2019 2024

Where they practice

Practice location

3614 Washington Pkwy

Idaho Falls, ID 834047573

📞 2085354343

Mailing address

6410 E Mansion Hill Dr

Ammon, ID 834064707

Specialties

Physician Assistants & Advanced Practice Nursing Providers › Physician Assistant

Physician Assistant Primary

CMS NPPES uses NUCC taxonomy code 363AM0700X for provider records classified as Medical within Physician Assistant. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...

taxonomy 363AM0700X
Physical Medicine & Rehabilitation

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the...

ID license #PA-1924 taxonomy 2081S0010X
Student in an Organized Health Care Education/Training Program

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

taxonomy 390200000X

Medicare directory context

Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare, retrieved 2026-10-12. They apply only to this clinician's public Medicare listing.

Medicare specialties

Physician Assistant

Largest Medicare group

272 members

Largest listed enrollment group

Facility affiliations reported by CMS

Mountain View Hospital Llc

Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered. View the CMS dataset →

Practice context

Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new medical (physician assistant) provider has been added in Idaho Falls in the last 180 days. See all →

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.