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

Nicholas J Box, PA

Individual provider Physician Assistant · NPI 1154626323

Nicholas J Box, PA is a Physician Assistant in Pocatello, Idaho. Qualified in 2010, 16 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
16
Licensed in
ID
In the registry since
2011
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

777 Hospital Way
Pocatello, ID 83201-5175
Phone: (208) 239-2481
Fax: (208) 239-3691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 777 N Raymond St, Boise, ID 83704-9251 — (208) 514-2500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-877 (ID)

Record details

NPI number1154626323
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 20, 2011
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing addressP.O. Box 4168, Pocatello, ID 83205-4168

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 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

Other providers in Pocatello