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

Mr. Nicholas A Hale, PA

Individual provider Physician Assistant · NPI 1841487840

Mr. Nicholas A Hale, PA is a Physician Assistant in Pocatello, Idaho. Qualified in 2007, 19 years ago. Practices with Mvh Pic LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
19
Licensed in
ID
In the registry since
2007
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

495 Yellowstone Ave
Pocatello, ID 83201-4531
Phone: (208) 478-7422
Fax: (208) 478-1515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-686 (ID)

Record details

NPI number1841487840
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 3, 2007
Last updated in NPPESFebruary 6, 2024
Certification dateFebruary 6, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Mvh Pic Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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