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

Jacob Michelsen, PA

Individual provider Medical Physician Assistant · NPI 1841803533

Jacob Michelsen, PA is a Physician Assistant in Caldwell, Idaho. Qualified in 2020, 6 years ago. Practices with Jonathan Barrus DO PC, a 5-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
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

2005 Arlington Ave
Caldwell, ID 83605-4808
Phone: (208) 459-1025
Fax: (208) 466-5359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1841803533
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 24, 2020
Last updated in NPPESAugust 24, 2020
Certification dateAugust 24, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Jonathan Barrus Do Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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