Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jeffrey Benson Hargraves, PA-C

Individual provider Physician Assistant · NPI 1053040493

Mr. Jeffrey Benson Hargraves, PA-C is a Physician Assistant in Coeur D Alene, Idaho. Qualified in 2022, 4 years ago. Practices with Dirne Health Centers Inc, a 83-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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

1090 W Park Pl
Coeur D Alene, ID 83814-2785
Phone: (208) 620-5250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1456 N 800 E, Shelley, ID 83274-5014 — (208) 821-2412

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1053040493
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 9, 2022
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 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 Dirne Health Centers Inc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Coeur D Alene