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

Miss. Heather Lin Halversen

Individual provider Physician Assistant · NPI 1801526199

Miss. Heather Lin Halversen is a Physician Assistant in Pocatello, Idaho. Qualified in 2022, 4 years ago. Practices with Cc Pocatello LLC, a 6-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022

Practice location Address checks out

921 S 8th Ave Stop 8253
Pocatello, ID 83209-0002
Phone: (208) 282-4726
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1801526199
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2022
Last updated in NPPESSeptember 25, 2022
Certification dateSeptember 25, 2022

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 Cc Pocatello Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Pocatello