MR. DEVON E. DAHLKE PA-C
NPI 1598866691
Physician Assistant in Logan, UT

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
630 E 1400 N STE 150, LOGAN, UT 84341(435) 915-4465(435) 514-4556 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2020, Nov 23, 2020, May 11, 2020 (3 updates tracked since 2020).

About Mr. Devon E. Dahlke Pa-c NPPES

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

MR. DEVON E. DAHLKE PA-C (NPI 1598866691) is an individual physician assistant in Logan, Utah and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains 9 additional practice locations, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1598866691
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DEVON E. DAHLKECredential: PA-C
Location Address630 E 1400 N STE 150Logan, UT 84341-2549
Mailing Address740 S Woodruff AveIdaho Falls, ID 83401-5285 · (208) 542-9111 · Fax (208) 542-9114
Fax(435) 514-4556
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 25, 2006
Last NPPES UpdateDecember 1, 20203 updates tracked since enumeration
NPPES CertifiedDecember 1, 2020
NPI 1598866691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 5703274-1206 (UT)
630 E 1400 N STE 150, Logan, UT 84341

Secondary Practice Locations 9

Location 12761 Commercial WayRock Springs, WY 82901-4753 · Phone (307) 382-3064
Location 27017 S. Daisy LaneIdaho Falls, ID 83402 · Phone (208) 534-5878
Location 3740 S Woodruff AveIdaho Falls, ID 83401-5285 · Phone (208) 542-9111 · Fax (208) 542-9114
Location 41201 S Main St Ste 110Logan, UT 84321-8504 · Phone (435) 787-8504
Location 51404 Pomerelle Ave Ste A1Burley, ID 83318-2013 · Phone (208) 878-8783
Location 6507 S Main StHailey, ID 83333-8929 · Phone (208) 788-4122
Location 71952 Harrison DriveEvanston, WY 82930 · Phone (307) 288-0404
Location 8700 S Highway 91Richmond, UT 84333-1209 · Phone (435) 294-3215
Location 947 Doc Perkes RdAfton, WY 83110 · Phone (307) 885-3637

Other Identifiers 1

Medicaid1598866691UT

Accepted 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. Devon E. Dahlke Pa-c 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 ID9032167671
PECOS Enrollment IDI20050110001048, I20180723002302
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 84341 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 9

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

Nurse Practitioner (Family)
630 E 1400 N STE 150
LOGAN, UT 84341
Clinic/Center (Urgent Care)
630 E 1400 N STE 150
LOGAN, UT 84341
Nurse Practitioner (Family)
630 E 1400 N STE 150
LOGAN, UT 84341
Physician Assistant
630 E 1400 N STE 150
LOGAN, UT 84341
Nurse Practitioner (Family)
630 E 1400 N STE 150
LOGAN, UT 84341
Clinic/Center (Urgent Care)
630 E 1400 N STE 150
LOGAN, UT 84341
Internal Medicine (Nephrology)
630 E 1400 N STE 150
LOGAN, UT 84341
Clinic/Center (Urgent Care)
630 E 1400 N STE 150
LOGAN, UT 84341

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 Devon Dahlke's NPI number?

The NPI number for Devon Dahlke is 1598866691. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Devon Dahlke located?

Devon Dahlke practices at 630 E 1400 N Ste 150, Logan, UT 84341. The listed phone number is (435) 915-4465.

What is Devon Dahlke's specialty?

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

Is Devon Dahlke enrolled in Medicare?

Yes. Devon Dahlke 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 Devon Dahlke accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Utah list Devon Dahlke 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 Devon Dahlke was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.