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

Justin Dean Judkins

Individual provider Physician Assistant · NPI 1316677594

Justin Dean Judkins is a Physician Assistant in Pocatello, Idaho. Qualified in 2022, 4 years ago. Practices with Pocatello Health Services LLC, a 178-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2022
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Practice location Address checks out

777 Hospital Way
Pocatello, ID 83201-5175
Phone: (208) 239-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 921 S 8th Ave Stop 8253, Pocatello, ID 83209-0002 — (208) 282-4726

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2579 (ID)

Record details

NPI number1316677594
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2022
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Pocatello Health Services Llc — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pocatello