PADEN GONZALES
NPI 1477391357
Physician Assistant in Emmett, ID

Q: What is Paden Gonzales's NPI number?

The NPI number for Paden Gonzales is 1477391357. It was assigned to this individual provider in the NPPES registry on July 16, 2024.

Q: What is Paden Gonzales's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Paden Gonzales was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 July 16, 2024PECOS EnrolledAccepts Medicare Assignment

207 E 12TH ST, EMMETT, ID 83617(208) 365-1065 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 14, 2026, Jul 16, 2024 (2 updates tracked since 2024).

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About Paden Gonzales NPPES

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

PADEN GONZALES (NPI 1477391357) is an individual physician assistant in Emmett, Idaho, licensed in Idaho (6361826) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Washington School Of Medicine (2023).

NPPES Registry Identity

NPI1477391357

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NamePADEN GONZALES

Location Address207 E 12TH STEmmett, ID 83617-3626

Mailing Address1441 Ne 10th AvePayette, ID 83661-5420 · (208) 642-9376 · Fax (208) 642-9279

Phone(208) 365-1065

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2023

Enumeration DateJuly 16, 2024

Last NPPES UpdateJanuary 14, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2026

✔ NPI 1477391357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in ID · 6361826✔ Licensed in OR · PA224957

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

207 E 12TH ST, Emmett, ID 83617

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Other Identifiers 1

Medicaid500841600OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Paden Gonzales 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 ID8123568276

PECOS Enrollment IDI20251016003616

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Saint Alphonsus Medical Center - Ontario

Acute Care Hospitals · Ontario, OR

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number380052

Location351 SW 9th StreetOntario, OR 97914 · Malheur County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

RYAN ATWOOD PA-C

Physician Assistant