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

Individual provider Physician Assistant · NPI 1407537400

Joshua Shane Blanchard, PA-C is a Physician Assistant in Pocatello, Idaho. Graduated from Pennsylvania State University College of Medicine in 2023, 3 years ago. Practices with Mvh Pic LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
3
Trained at
Pennsylvania State University College of Medicine
Licensed in
ID
In the registry since
2023
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

495 Yellowstone Ave
Pocatello, ID 83201-4531
Phone: (208) 478-7422
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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-2561 (ID)

Record details

NPI number1407537400
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 31, 2023
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Mvh Pic Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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