NPI age
19 years
Enumerated 2006-06-26
● Active
Type 1 · Individual
Jonathan B Miller, PA-C
Miller is 1 of 91 physician assistant providers in Boise and 1 of 387 in Idaho.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
OR, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-01-08
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
19 years
↑ 4 yr above median (15 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
900 N Liberty St Ste 400
Boise, ID 837048707
Mailing address
900 N Liberty St Ste 400
Boise, ID 837048707
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010149921 | REGENCE BLUE SHIELD |
| 01 (ID) | PA549 | PA MEDICAL LICENSE |
| 01 (ID) | PAVQ9 | BLUE CROSS OF IDAHO |
| 05 (ID) | 807126000 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 14 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.
See all →
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