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

Cooper Simpson, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1891237871

Cooper Simpson, PHYSICIANASSISTANT is a Physician Assistant in Nampa, Idaho. Qualified in 2021, 5 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
5
Licensed in
ID
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

85 S Middleton Rd
Nampa, ID 83651
Phone: (208) 505-2800
Fax: (208) 505-2801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2840 S Meridian Rd, Meridian, ID 83642-7960 — (208) 463-3000
  • 824 S Diamond St, Nampa, ID 83686-5960 — (208) 546-3046

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2111 (ID)
Physician Assistant Taxonomy 363A00000X · Licence GPA-075 (ID)
Counselor Taxonomy 101Y00000X

Record details

NPI number1891237871
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedNovember 8, 2016
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 11, 2023

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 St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Nampa