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

Evan Dayne Ivie, PA

Individual provider Physician Assistant · NPI 1558765891

Evan Dayne Ivie, PA is a Physician Assistant in Ammon, Idaho. Qualified in 2014, 12 years ago. Practices with Simpson Dermcare and Family Medicine PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
12
Licensed in
ID
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3456 E 17th St Ste 190
Ammon, ID 83406-6749
Phone: (208) 524-2222
Fax: (855) 999-9242
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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 PA-1265 (ID)

Record details

NPI number1558765891
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 15, 2014
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Simpson Dermcare And Family Medicine Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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