NPI age
18 years
Enumerated 2008-05-09
● Active Type 2 · Organization
Subpart
St Benedicts Fmc Physician Assistants
St Benedicts Fmc Physician Assistants is 1 of 1263 physician assistant organizations in Idaho.
Primary specialty
Physician Assistant
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stevenson
Administrator
Last NPPES update
2008-05-09
Source: monthly bulk 2026-05
How this organization compares
Across 1263 active physician assistant providers in Idaho.
NPI age
18 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2008 → 2026
2008-05Enumerated in NPPES
2008
2026
Where they practice
Primary practice location
709 N Lincoln Ave
Jerome, ID 833381851
Mailing address
709 N Lincoln Ave
Jerome, ID 833381851
Authorized official
Alan Stevenson
Administrator
📞 2083241122
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Paul Dickinson, CRNA Nurse Anesthetist, Certified Registered NPI 1912137175
- Curtis Emery, RT (R)(CT) Radiologic Technologist NPI 1942029582
- Anne Fullmer, FNP Nurse Practitioner NPI 1891165569
- Troy Jackman, PHARMD Pharmacist NPI 1609414051
- Brian Johnson, M.D. Family Medicine NPI 1336138783
- Richard Lally, M.D. Emergency Medicine NPI 1750489647
- Thomas Zepeda, MD Personal Emergency Response Attendant NPI 1083833933
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...
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
Subpart of St Benedicts Family Medical Center.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.