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

Jeremy David Willes, PAC

Individual provider Physician Assistant · NPI 1356314843

Jeremy David Willes, PAC is a Physician Assistant in Twin Falls, Idaho. Qualified in 2003, 23 years ago. Practices with Physicians Immediate Care of Twin Falls PA, a 9-clinician group and accepts Medicare assignment. Licensed in Idaho and Nevada.

Years since qualifying
23
Licensed in
ID, NV
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

260 Falls Ave Ste C
Twin Falls, ID 83301-3370
Phone: (208) 736-7422
Fax: (208) 736-8905
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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 PA638 (ID)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA882 (NV)

Record details

NPI number1356314843
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedFebruary 7, 2006
Last updated in NPPESMay 8, 2013
Mailing address260 Falls Ave, Suite C, Twin Falls, ID 83301-3370

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Physicians Immediate Care Of Twin Falls Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Twin Falls