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

Mr. Jordan Gregory Evans, PA-S

Individual provider Physician Assistant · NPI 1487278453

Mr. Jordan Gregory Evans, PA-S is a Physician Assistant in Boise, Idaho. Qualified in 2022, 4 years ago. Practices with Sterling Provider Group, a 53-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Idaho.

Years since qualifying
4
Licensed in
CA, ID
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

6051 W Emerald St
Boise, ID 83704-8969
Phone: (208) 302-5150
Fax: (208) 302-5155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 — (503) 352-6151

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2681 (ID)
Physician Assistant Taxonomy 363A00000X · Licence 61635 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1487278453
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S
Sole proprietorNo
NPI enumeratedJune 4, 2020
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

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 Sterling Provider Group — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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