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

Mr. Matthew Ries, PA-C

Individual provider Physician Assistant · NPI 1659880276

Mr. Matthew Ries, PA-C is a Physician Assistant in Nampa, Idaho. Qualified in 2017, 9 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
9
Licensed in
ID
In the registry since
2017
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

4400 E Flamingo Ave
Nampa, ID 83687-9203
Phone: (208) 302-2700
Fax: (208) 302-2725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 333 N 1st St Ste 280, Boise, ID 83702-6132 — (208) 345-6545

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1525 (ID)

Record details

NPI number1659880276
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 26, 2017
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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