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

Shaun J Westergard, PA

Individual provider Medical Physician Assistant · NPI 1740461102

Shaun J Westergard, PA is a Physician Assistant in Idaho Falls, Idaho. Qualified in 2007, 19 years ago. Practices with Ascend LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
19
Licensed in
ID
In the registry since
2007
Specialties on file
2
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

2001 S Woodruff Ave Ste 9
Idaho Falls, ID 83404-6371
Phone: (208) 419-3002
Fax: (208) 656-5652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-710 (ID)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA710 (ID)

Record details

NPI number1740461102
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 14, 2007
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Ascend Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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