NPI age
17 years
Enumerated 2008-12-08
● Active
Type 1 · Individual
MRS. Jaclyn Golus Mentzer, P.A.
Mentzer is 1 of 363 physician assistant providers in Boise and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-01-27
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
17 years
↑ 8 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
1
In the 35% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-12Enumerated in NPPES
2008
2026
Where they practice
Practice location
388 E. Parkcenter Blvd. Gem State Dermatology
Boise, ID 83706
Mailing address
388 E. Parkcenter Blvd. Gem State Dermatology
Boise, ID 83706
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...
-
DermatologyA dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 808380800 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 3 new physician assistant providers have been added in Boise in the last 180 days.
See all →
Provyx · Custom healthcare lists
Need all 1263 Physician Assistant providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
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.