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

Mr. Wesley Adam Semonchuk

Individual provider Physician Assistant · NPI 1962962118

Mr. Wesley Adam Semonchuk is a Physician Assistant in Meridian, Idaho. Qualified in 2020, 6 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
6
Licensed in
ID
In the registry since
2019
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Practice location Address checks out

3080 E Gentry Way Ste 210
Meridian, ID 83642-3013
Phone: (208) 384-9022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5850 E Still Cir, Mesa, AZ 85206-3618 — (208) 891-7086
  • 3731 N Bottle Brush Ave, Boise, ID 83713-1979 — (208) 891-7086

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1958 (ID)

Record details

NPI number1962962118
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2019
Last updated in NPPESNovember 11, 2020
Certification dateNovember 11, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Meridian