DAVIS JORDON EVERTON PA
NPI 1992498497
Physician Assistant in Nampa, ID

Active since May 31, 2023PECOS EnrolledAccepts Medicare Assignment
1115 12TH AVE RD, NAMPA, ID 83686(208) 498-1080(208) 498-1081 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 8, 2023, May 31, 2023 (2 updates tracked since 2023).

About Davis Jordon Everton Pa NPPES

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

DAVIS JORDON EVERTON PA (NPI 1992498497) is an individual physician assistant in Nampa, Idaho, licensed in Idaho (PA-2509) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with West Valley Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1992498497
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDAVIS JORDON EVERTONCredential: PA
Location Address1115 12TH AVE RDNampa, ID 83686-5738
Mailing AddressPo Box 191050Boise, ID 83719-1050
Fax(208) 498-1081
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 31, 2023
Last NPPES UpdateDecember 8, 20232 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
NPI 1992498497 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-2509
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.

1115 12TH AVE RD, Nampa, ID 83686

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

Davis Jordon Everton 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 ID4082075627
PECOS Enrollment IDI20230731001276
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
113 services107 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
54 services54 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
40 services36 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

West Valley Medical Center

Acute Care Hospitals · Caldwell, ID
5/5 CMS rating
OwnershipProprietary
CMS Certification Number130014
Location1717 Arlington StreetCaldwell, ID 83605 · Canyon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83686 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 8

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

Family Medicine
1115 12TH AVE RD
NAMPA, ID 83686
Nurse Practitioner (Family)
1115 12TH AVE RD
NAMPA, ID 83686
Nurse Practitioner
1115 12TH AVE RD
NAMPA, ID 83686
Nurse Practitioner (Family)
1115 12TH AVE RD
NAMPA, ID 83686
Family Medicine
1115 12TH AVE RD
NAMPA, ID 83686
Physician Assistant
1115 12TH AVE RD
NAMPA, ID 83686
Nurse Practitioner
1115 12TH AVE RD
NAMPA, ID 83686
Nurse Practitioner
1115 12TH AVE RD
NAMPA, ID 83686

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992498497, enumerated as an "individual" on May 31, 2023.

The provider is located at 1115 12TH AVE RD NAMPA, ID 83686 and the phone number is (208) 498-1080.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Moda Health Plan, Inc. and Providence Health Plan. Please consult your insurance carrier or call the provider to verify.

Davis Everton is affiliated with: WEST VALLEY MEDICAL CENTER.