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

Scott K M Knudsen, PA

Individual provider Physician Assistant · NPI 1629651666

Scott K M Knudsen, PA is a Physician Assistant in Mountain Home, Idaho. Graduated from Un of British Columbia, Faculty of Medicine in 2023, 3 years ago. Practices with Glenns Ferry Health Center Inc, a 17-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
3
Trained at
Un of British Columbia, Faculty of Medicine
Licensed in
ID
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

120 Desert Sage Way
Mountain Home, ID 83647-1038
Phone: (208) 587-3988
Fax: (208) 587-3324
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2589 (ID)

Record details

NPI number1629651666
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 28, 2021
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUN OF BRITISH COLUMBIA, FACULTY OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Glenns Ferry Health Center Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mountain Home