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

Jason Smith, PA

Individual provider Physician Assistant · NPI 1699290296

Jason Smith, PA is a Physician Assistant in Meridian, Idaho. Qualified in 2017, 9 years ago. Practices with Ada West Dermatology, PC, a 26-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
9
Licensed in
ID
In the registry since
2017
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

1618 S Millenium Way Ste 100
Meridian, ID 83642-6457
Phone: (208) 884-3376
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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 PA-2116 (ID)

Record details

NPI number1699290296
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 4, 2017
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025
Mailing address1618 S Millenium Way Ste 100, Meridian, ID 83642-6457

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Ada West Dermatology, P.C. — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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