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

Mr. Jeremy Dalley, PA-C

Individual provider Physician Assistant · NPI 1306273552

Mr. Jeremy Dalley, PA-C is a Physician Assistant in Meridian, Idaho. Graduated from Texas Tech University Health Science Center School of Medicine in 2013, 13 years ago. Practices with Ada West Dermatology, PC, a 26-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
13
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
TX
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1618 S Millenium Way Ste 100
Meridian, ID 83642-6457
Phone: (208) 884-3376
Fax: (208) 884-0858
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (TX)

Record details

NPI number1306273552
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 2, 2013
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Ada West Dermatology, P.C. — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Meridian