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MR. RONNIE BRYON ISAACSON PHYSICIAN ASSISTANT
NPI 1275007965
Physician Assistant - Medical in Boise, ID

Active since January 15, 2019PECOS EnrolledAccepts Medicare Assignment
4615 W EMERALD ST, BOISE, ID 83706(208) 917-1842 Get Directions Write a Review

NPPES record last updated: March 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 1, 2019, Jan 15, 2019 (2 updates tracked since 2019).

About Mr. Ronnie Bryon Isaacson Physician Assistant NPPES

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

MR. RONNIE BRYON ISAACSON PHYSICIAN ASSISTANT (NPI 1275007965) is an individual medical provider in Boise, Idaho, licensed in Idaho (PA-1707) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1275007965
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. RONNIE BRYON ISAACSONCredential: PHYSICIAN ASSISTANT
Location Address4615 W EMERALD STBoise, ID 83706-2002
Mailing Address13825 Paraiso StCaldwell, ID 83607-8088
Phone(208) 917-1842
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 15, 2019
Last NPPES UpdateMarch 31, 20222 updates tracked since enumeration
NPPES CertifiedMarch 31, 2022
✔ NPI 1275007965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ID · PA-1707
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA191453 (OR)
4615 W EMERALD ST, Boise, ID 83706
Open in Google Maps ↗

Secondary Practice Locations 6

Location 1595 NW 11th StHermiston, OR 97838-6600 · Phone (541) 567-2536 · Fax (541) 567-2362
Location 2702 Sunset DrOntario, OR 97914-3121 · Phone (541) 889-9167 · Fax (541) 889-7873
Location 3331 SE 2nd StPendleton, OR 97801-2224 · Phone (541) 276-6207 · Fax (541) 276-4628
Location 41019 W Sanetta StNampa, ID 83651-5047 · Phone (208) 917-1842
Location 51044 Northwest Blvd Ste CCoeur D Alene, ID 83814-2114 · Phone (208) 917-1842
Location 62609 S 10th AveCaldwell, ID 83605-6816 · Phone (208) 841-3020 · Fax (208) 549-7017

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ronnie Bryon Isaacson Physician Assistant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577803600
PECOS Enrollment IDI20220609002733
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

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

DYLAN ROGERS LPC
Counselor (Professional)
4615 W EMERALD ST
BOISE, ID 83706
Ada County (208) 344-2228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronnie Isaacson's NPI number?

The NPI number for Ronnie Isaacson is 1275007965. It was assigned to this individual provider in the NPPES registry on January 15, 2019.

Where is Ronnie Isaacson located?

Ronnie Isaacson practices at 4615 W Emerald St, Boise, ID 83706. The listed phone number is (208) 917-1842.

What is Ronnie Isaacson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ronnie Isaacson enrolled in Medicare?

Yes. Ronnie Isaacson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ronnie Isaacson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Ronnie Isaacson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ronnie Isaacson was last updated on March 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.