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

David E Nielson, PA-C

Individual provider Surgical Physician Assistant · NPI 1124393939

David E Nielson, PA-C is a Physician Assistant in Boise, Idaho. Graduated from Drexel University College of Medicine in 2011, 15 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
15
Trained at
Drexel University College of Medicine
Licensed in
ID
In the registry since
2012
Specialties on file
2
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

190 E Bannock St Fl 10
Boise, ID 83712-6241
Phone: (208) 381-5500
Fax: (208) 381-2555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6140 W Curtisian Ave Ste 400, Boise, ID 83704-8907 — (208) 327-5600
  • 1825 S Kimball Ave, Caldwell, ID 83605-4828 — (208) 327-5600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1183 (ID)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA-1183 (ID)

Record details

NPI number1124393939
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 12, 2012
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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