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

Individual provider Physician Assistant · NPI 1851658595

Dallin Andersen, PA-C is a Physician Assistant in Meridian, Idaho. Qualified in 2011, 15 years ago. Practices with Andersen Family Care, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2012
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

1494 W Ustick Rd 110
Meridian, ID 83646
Phone: (208) 908-7797
Fax: (208) 908-6588
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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 PA22062 (CA)

Record details

NPI number1851658595
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedApril 19, 2012
Last updated in NPPESOctober 4, 2022
Certification dateSeptember 30, 2022
Mailing address1494 W. Ustick Rd., 110, Meridian, ID 83646

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Andersen Family Care — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Meridian