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

Individual provider Physician Assistant · NPI 1003992140

Jenny Rickell Willmore, PA-C is a Physician Assistant in Saint Anthony, Idaho. Qualified in 2004, 22 years ago. Practices with Teton Valley Health Care Inc, a 33-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
22
Licensed in
ID
In the registry since
2006
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

605 Maple Ave
Saint Anthony, ID 83445-5529
Phone: (208) 624-4002
Fax: (208) 624-4409
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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-519 (ID)

Record details

NPI number1003992140
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 31, 2006
Last updated in NPPESSeptember 25, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Teton Valley Health Care Inc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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