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

Jared Kent Wilson, PA-C, MPAS, MED, ATC

Individual provider Athletic Trainer · NPI 1275748089

Jared Kent Wilson, PA-C, MPAS, MED, ATC is a Physician Assistant in Pocatello, Idaho. Qualified in 2011, 15 years ago. Practices with Pocatello Health Services LLC, a 178-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
15
Licensed in
ID
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MED — Master of Education
A graduate education degree, written M.Ed.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

777 Hospital Way South Mob Ste 204
Pocatello, ID 83201-5175
Phone: (208) 239-2110
Fax: (208) 239-2119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA-952 (ID)
Athletic Trainer Taxonomy 2255A2300X · Licence AT-492 (ID)

Record details

NPI number1275748089
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , MPAS , MED , ATC
Sole proprietorNo
NPI enumeratedMay 14, 2007
Last updated in NPPESAugust 3, 2025
Certification dateAugust 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Pocatello Health Services Llc — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pocatello