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

Mr. Benjamin Watson, PA-C

Individual provider Medical Physician Assistant · NPI 1013466200

Mr. Benjamin Watson, PA-C is a Physician Assistant in Meridian, Idaho. Qualified in 2016, 10 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016
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

520 S Eagle Rd Ste 1234
Meridian, ID 83642-6351
Phone: (661) 332-9138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1013466200
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 28, 2016
Last updated in NPPESSeptember 28, 2016
Mailing address520 S Eagle Rd, Suite 1234, Meridian, ID 83642-6351

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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