JASON JOHN OVEROCKER PA-C
NPI 1033581269
Physician Assistant - Surgical in Boise, ID

Q: What is Jason Overocker's NPI number?

The NPI number for Jason Overocker is 1033581269. It was assigned to this individual provider in the NPPES registry on October 27, 2015.

Q: What is Jason Overocker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jason Overocker was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 27, 2015PECOS Enrolled

305 E JEFFERSON ST, BOISE, ID 83712(208) 381-7370 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2023, Mar 18, 2021, Oct 29, 2020 and 3 more (6 updates tracked since 2016).

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About Jason John Overocker Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON JOHN OVEROCKER PA-C (NPI 1033581269) is an individual surgical provider in Boise, Idaho, licensed in Idaho (PA-1466) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Idaho Falls.

NPPES Registry Identity

NPI1033581269

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameJASON JOHN OVEROCKERCredential: PA-C

Location Address305 E JEFFERSON STBoise, ID 83712-6231

Mailing Address190 E Bannock StBoise, ID 83712-6241 · Fax (706) 447-7184

Phone(208) 381-7370

Sole ProprietorNo

Enumeration DateOctober 27, 2015

Last NPPES UpdateMarch 14, 20236 updates tracked since enumeration

NPPES CertifiedMarch 14, 2023

✔ NPI 1033581269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in ID · PA-1466

305 E JEFFERSON ST, Boise, ID 83712

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Secondary Practice Location 1

Location 13100 Channing WayIdaho Falls, ID 83404-7533 · Phone (706) 863-9595 · Fax (706) 447-7184

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason John Overocker Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAILEY LIZABETH COLLETTE MS

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