Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alyssa May Jack, PA-C

Individual provider Physician Assistant · NPI 1598357436

Alyssa May Jack, PA-C is a Physician Assistant in Idaho Falls, Idaho. Qualified in 2020, 6 years ago. Practices with Rocky Mountain Medical LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
6
Licensed in
ID
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

535 W Sunnyside Rd Ste 2
Idaho Falls, ID 83402-4647
Phone: (208) 357-9700
Fax: (208) 963-3245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1966 (ID)

Record details

NPI number1598357436
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 10, 2021
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Rocky Mountain Medical Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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