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

Brooke Lee Skinner, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1659038669

Brooke Lee Skinner, PHYSICIANASSISTANT is a Physician Assistant in Pocatello, Idaho. Qualified in 2021, 5 years ago. Practices with Primary Care Specialists PA, a 5-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2021
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Practice location Address checks out

110 Vista Dr
Pocatello, ID 83201-5824
Phone: (208) 234-2300
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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-2154 (ID)

Record details

NPI number1659038669
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedNovember 24, 2021
Last updated in NPPESDecember 18, 2021
Certification dateDecember 18, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Primary Care Specialists Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pocatello