P Praxis·MD
● Active Type 1 · Individual

Jordan Neil Hale, PA-C

Physician Assistant·Ammon, ID· NPI 1396110169 · Enumerated 2015 · 10 years on NPI
Hale is 1 of 10 physician assistant providers in Ammon and 1 of 1263 in Idaho.
NPI age
10 years
Enumerated 2015-12-04
Primary specialty
Physician Assistant
Licensed in
CA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-05-27
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
10 years
≈ at median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-12Enumerated in NPPES
2015 2026

Where they practice

Practice location
1547 Midway Dr Ste B
Ammon, ID 834066912
📞 2084970429fax 2084970430
Mailing address
1547 Midway Dr Ste B
Ammon, ID 834066912
📞 2084970429fax 2084970430

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1200 W Main St
Turlock, CA 953805107
📞 2096685388fax 2096685378

Specialties

  • Physician Assistant Primary
    A 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...
    CA license #53080 taxonomy 363A00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

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

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