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

Chase Maddock, PA-C

Individual provider Athletic Trainer · NPI 1649670522

Chase Maddock, PA-C is a Physician Assistant in Twin Falls, Idaho. Qualified in 2022, 4 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2014
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

725 Pole Line Rd W
Twin Falls, ID 83301-5800
Phone: (208) 814-1600
Fax: (208) 814-1910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 775 Pole Line Rd W Ste 103, Twin Falls, ID 83301-5819 — (208) 814-8375
  • 712 29th St, Ogden, UT 84403-0266 — (307) 722-3447

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2346 (ID)
Athletic Trainer Taxonomy 2255A2300X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1649670522
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 28, 2014
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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