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

Trevor Tesch

Individual provider Physician Assistant · NPI 1750097754

Trevor Tesch is a Physician Assistant in Nampa, Idaho. Qualified in 2022, 4 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2023
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Practice location Address checks out

9850 W St Lukes Dr Ste 280
Nampa, ID 83687-7912
Phone: (208) 323-3767
Fax: (208) 323-3768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2141 Coronado St, Idaho Falls, ID 83404-7495 — (208) 523-3857

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2470 (ID)

Record details

NPI number1750097754
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 24, 2023
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Nampa