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

Nathan D Matson, PA-C

Individual provider Physician Assistant · NPI 1962073619

Nathan D Matson, PA-C is a Physician Assistant in Pocatello, Idaho. Qualified in 2021, 5 years ago. Works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
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

2850 Olympus Dr
Pocatello, ID 83201-2271
Phone: (208) 239-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3320 S 25th E, Idaho Falls, ID 83404-4606 — (208) 656-1500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1962073619
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 4, 2021
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing address1630 Petersburg Dr, Chubbuck, ID 83202-5271

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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