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

Nicolas Emmanuel Echon Reyes, PA

Individual provider Physician Assistant · NPI 1760114425

Nicolas Emmanuel Echon Reyes, PA is a Physician Assistant in Boise, Idaho. Qualified in 2024, 2 years ago. Practices with Community Health Clinics Inc, a 74-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
2
Licensed in
ID
In the registry since
2022
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

6051 W Emerald St
Boise, ID 83704-8969
Phone: (208) 303-2515
Fax: (208) 302-5155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 207 1st St S, Nampa, ID 83651-3703 — (208) 466-7869

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9561370 (ID)

Record details

NPI number1760114425
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 29, 2022
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Community Health Clinics Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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