NPI age
20 years
Enumerated 2006-02-07
● Active
Type 1 · Individual
Jeremy David Willes, PAC
Willes is 1 of 59 physician assistant providers in Twin Falls and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID, NV
2 states
Status
Active
No deactivations on record
Last NPPES update
2013-05-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1263 active physician assistant providers in Idaho.
NPI age
20 years
↑ 11 yr above median (9 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-02Enumerated in NPPES
2006
2026
Where they practice
Practice location
260 Falls Ave, Suite C
Twin Falls, ID 833013370
Mailing address
260 Falls Ave, Suite C
Twin Falls, ID 833013370
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
-
Physician AssistantDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010161378 | BLUE SHIELD |
| 05 (ID) | 807683300 | |
| 05 (ID) | 807683301 | |
| 01 (ID) | PAE68 | BLUE CROSS |
| 01 (ID) | 000010161377 | BLUE SHIELD |
| 05 (NV) | 100504125 | |
| 01 (ID) | PAE69 | BLUE CROSS |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Twin Falls 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.