NPI age
19 years
Enumerated 2006-11-16
● Active
Type 1 · Individual
Jason S Phillips, PA-C
Phillips is 1 of 1 physician assistant providers in Moscow and 1 of 97 in Idaho.
Primary specialty
Physician Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-02-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 97 active physician assistant providers in Idaho.
NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
1 state
23% of peers hold multiple states
Subspecialties
0
56% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Practice location
2301 W A St
Moscow, ID 838434038
Mailing address
Po Box 8007
Moscow, ID 838430507
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (AZ) | 167341 |
Practice context
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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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.