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EVAN DAYNE IVIE PA
NPI 1558765891
Physician Assistant in Ammon, ID

Active since October 15, 2014PECOS EnrolledAccepts Medicare Assignment
3456 E 17TH ST STE 190, AMMON, ID 83406(208) 524-2222(855) 999-9242 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 3, 2025, Apr 13, 2022 (2 updates tracked since 2022).

About Evan Dayne Ivie Pa NPPES

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

EVAN DAYNE IVIE PA (NPI 1558765891) is an individual physician assistant in Ammon, Idaho, licensed in Idaho (PA-1265) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1558765891
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEVAN DAYNE IVIECredential: PA
Location Address3456 E 17TH ST STE 190Ammon, ID 83406-6749
Mailing Address3456 E 17th St Ste 190Ammon, ID 83406-6749 · (208) 524-2222 · Fax (855) 999-9242
Phone(208) 524-2222
Fax(855) 999-9242
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 15, 2014
Last NPPES UpdateSeptember 3, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2025
✔ NPI 1558765891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA-1265
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.
3456 E 17TH ST STE 190, Ammon, ID 83406
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Other Identifiers 2

Medicaid1174919534ID
Medicaid473675862ID

Accepted Insurance

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

Evan Dayne Ivie Pa 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 ID9537483656
PECOS Enrollment IDI20151106000356
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83406 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 2

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

DEVIN KENNETH WERNETTE
Physician Assistant
3456 E 17TH ST STE 190
AMMON, ID 83406
Bonneville County (208) 524-2222
DR. ISAC PHIL SIMPSON D.O.
Family Medicine
3456 E 17TH ST STE 190
AMMON, ID 83406
Bonneville County (208) 524-2222

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 Evan Ivie's NPI number?

The NPI number for Evan Ivie is 1558765891. It was assigned to this individual provider in the NPPES registry on October 15, 2014.

Where is Evan Ivie located?

Evan Ivie practices at 3456 E 17th St Ste 190, Ammon, ID 83406. The listed phone number is (208) 524-2222.

What is Evan Ivie's specialty?

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

Is Evan Ivie enrolled in Medicare?

Yes. Evan Ivie 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 Evan Ivie accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and University of Utah Health Plans list Evan Ivie 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 Evan Ivie was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.