NPI age
9 years
Enumerated 2016-09-29
● Active
Type 1 · Individual
Jacob Shane Tebbs, PA-C
Tebbs is 1 of 91 physician assistant providers in Boise and 1 of 387 in Idaho.
Primary specialty
Physician Assistant
Licensed in
UT
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-08-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 387 active physician assistant providers in Idaho.
NPI age
9 years
↓ 6 yr below median (15 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-09Enumerated in NPPES
2016
2026
Where they practice
Practice location
6051 N Eagle Rd
Boise, ID 837130997
Mailing address
1900 N State St
Provo, UT 846041305
Additional practice locations
1 secondary location on file with NPPES.
Location 2
999 N Curtis Rd Ste 307
Boise, ID 837061333
Specialties
-
Physician Assistant PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Boise in the last 180 days.
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Request a quote →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.