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

Jared Mudge, PA-C

Individual provider Medical Physician Assistant · NPI 1679398929

Jared Mudge, PA-C is a Physician Assistant in Post Falls, Idaho. Qualified in 2022, 4 years ago. Practices with North Idaho Day Surgery LLC, a 90-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2024
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

1551 E Mullan Ave Ste 200B
Post Falls, ID 83854-9005
Phone: (208) 262-2213
Fax: (208) 262-2214
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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 · Licence 5761672 (ID)

Record details

NPI number1679398929
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 21, 2024
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026
Mailing address1593 E Polston Ave, Post Falls, ID 83854-5326

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice North Idaho Day Surgery Llc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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