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

Jason Lee Cottrell, PA

Individual provider Pharmacy Technician · NPI 1265115547

Jason Lee Cottrell, PA is a Physician Assistant in Pocatello, Idaho. Qualified in 2025, 1 year ago. Practices with Pocatello Health Services LLC, a 178-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2023
Specialties on file
3
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

777 Hospital Way Ste 101
Pocatello, ID 83201-5175
Phone: (208) 239-3899
Fax: (208) 232-2195
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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 9071482 (ID)
Pharmacy Technician Taxonomy 183700000X · Licence CT66258 (ID)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1265115547
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 11, 2023
Last updated in NPPESOctober 27, 2025
Certification dateOctober 27, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Pocatello Health Services Llc — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pocatello