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

Individual provider Physician Assistant · NPI 1043665789

Michael J Housley, PA-C is a Physician Assistant in Boise, Idaho. Qualified in 2013, 13 years ago. Practices with Mountain West Derm - Blackhart PLLC, a 103-clinician group and accepts Medicare assignment. Licensed in Idaho and Texas.

Years since qualifying
13
Licensed in
ID, TX
In the registry since
2016
Specialties on file
2
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

7733 W Emerald St
Boise, ID 83704-9020
Phone: (208) 376-3220
Fax: (208) 939-5010
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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-1448 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA08766 (TX)

Record details

NPI number1043665789
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 2, 2016
Last updated in NPPESJune 29, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mountain West Derm - Blackhart Pllc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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