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

Mitchell Andrew Bliss, PA

Individual provider Physician Assistant · NPI 1760144687

Mitchell Andrew Bliss, PA is a Physician Assistant in Boise, Idaho. Qualified in 2021, 5 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6165 W Emerald St
Boise, ID 83704-8613
Phone: (208) 302-3900
Fax: (208) 302-3955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6051 W Emerald St, Boise, ID 83704-8969 — (208) 302-5150
  • 4971 W Overland Rd, Boise, ID 83705-2822 — (208) 472-5050

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2134 (ID)

Record details

NPI number1760144687
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 7, 2021
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing addressPo Box 190930, Boise, ID 83719-0930

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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