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

Mr. Stephen J Frelly, PA

Individual provider Physician Assistant · NPI 1114966959

Mr. Stephen J Frelly, PA is a Physician Assistant in Meridian, Idaho. Qualified in 1997, 29 years ago. Practices with Ada West Dermatology, PC, a 26-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
29
Licensed in
ID
In the registry since
2006
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

1618 S Millenium Way Ste 100
Meridian, ID 83642-6457
Phone: (208) 884-3376
Fax: (208) 884-0858
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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 PA495 (ID)

Record details

NPI number1114966959
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 6, 2006
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 schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Ada West Dermatology, P.C. — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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