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

Individual provider Physician Assistant · NPI 1558713131

Jacob R Foster, PA-C is a Physician Assistant in Pocatello, Idaho. Qualified in 2016, 10 years ago. Practices with Clearwater Valley Hospital and Clinics, a 28-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
10
Licensed in
ID
In the registry since
2016
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

110 Vista Dr
Pocatello, ID 83201-5824
Phone: (208) 234-2300
Fax: (208) 234-0026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (ID)

Record details

NPI number1558713131
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 7, 2016
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Clearwater Valley Hospital And Clinics — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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