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

Jordan Neil Hale, PA-C

Individual provider Physician Assistant · NPI 1396110169

Jordan Neil Hale, PA-C is a Physician Assistant in Ammon, Idaho. Qualified in 2015, 11 years ago. Practices with Root Cause Integrative Medicine LLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1547 Midway Dr Ste B
Ammon, ID 83406-6912
Phone: (208) 497-0429
Fax: (208) 497-0430
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1200 W Main St, Turlock, CA 95380-5107 — (209) 668-5388

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 53080 (CA)

Record details

NPI number1396110169
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 4, 2015
Last updated in NPPESMay 27, 2020
Certification dateMay 27, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Root Cause Integrative Medicine Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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