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

Derrick A Rowe, PA-C

Individual provider Physician Assistant · NPI 1851624340

Derrick A Rowe, PA-C is a Physician Assistant in Mountain Home, Idaho. Qualified in 2009, 17 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Montana.

Years since qualifying
17
Licensed in
ID, MT
In the registry since
2009
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

805 N 6th E
Mountain Home, ID 83647-2207
Phone: (208) 587-2450
Fax: (208) 587-2451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 935 Highland Blvd Ste 2160, Bozeman, MT 59715-6913 — (406) 556-5300

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1399 (ID)
Physician Assistant Taxonomy 363A00000X · Licence 580 (MT)

Record details

NPI number1851624340
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 15, 2009
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
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 2009 (17 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Mountain Home