Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JARED KENT WILSON, PA-C, MPAS, MED, ATC

Active

JARED KENT WILSON, PA-C, MPAS, MED, ATC is a Surgical Physician Assistant healthcare provider located in POCATELLO, Idaho. NPI 1275748089 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · POCATELLO, ID

Registration Details

NPI Number: 1275748089
Provider Type: Individual
Gender: Male
NPI Issued: May 14, 2007 (19.208386726334 yrs)
Last Updated: Aug 3, 2025
Licenses: AT-492 (ID)

PA-952 (ID)

Practice Information

Address: 777 HOSPITAL WAY

SOUTH MOB, SUITE 204

POCATELLO, ID, 832015175
Browse ID providers · Browse ZIP 83201
Phone: 2082392110
Fax: 2082392119
Primary Specialty: Surgical Physician Assistant
363AS0400X
Additional Specialty: Surgical Physician Assistant

Other Surgical Physician Assistant Providers in POCATELLO, ID

Name	Credential	NPI
JUSTIN C POOL	PA-C	1952402257
STEVEN L NELSON	PA-C	1659689362
MR. DAVID M. MCDONALD	PA-C	1710280144
LANCE W MCKAY	P.A.-C	1720379597
JESSICA BAILEY	PA	1588909261
MR. DALE MCKAY BELNAP	PA-C	1962832923

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.