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

Mr. Jason T Daley, PA

Individual provider Medical Physician Assistant · NPI 1558664458

Mr. Jason T Daley, PA is a Physician Assistant in Boise, Idaho. Qualified in 2010, 16 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
16
Licensed in
ID
In the registry since
2010
Specialties on file
2
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

600 Robbins Rd Ste 401 Intermountain Orthopaedics
Boise, ID 83702
Phone: (208) 383-0201
Fax: (208) 489-4300
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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 · Licence PA-861 (ID)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA-861 (ID)

Record details

NPI number1558664458
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 15, 2010
Last updated in NPPESApril 4, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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