NPI age
14 years
Enumerated 2012-04-19
● Active
Type 1 · Individual
Dallin Andersen, PA-C
Andersen is 1 of 132 physician assistant providers in Meridian and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Licensed in
CA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-10-04
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1263 active physician assistant providers in Idaho.
NPI age
14 years
↑ 5 yr above median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-04Enumerated in NPPES
2012
2026
Where they practice
Practice location
1494 W. Ustick Rd., 110
Meridian, ID 83646
Mailing address
1494 W. Ustick Rd., 110
Meridian, ID 83646
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
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
Recently enumerated nearby: 1 new physician assistant provider has been added in Meridian in the last 180 days.
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- 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.