Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jared Kent Wilson, PA-C, MPAS, MED, ATC

Surgical Physician Assistant in Pocatello, ID · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275748089

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Registry record

Entity type Individual (Type 1)

Name Jared Kent Wilson

Credential PA-C, MPAS, MED, ATC

Sex Male

Practice address 777 Hospital Way, South Mob, Suite 204, Pocatello, ID, 83201

Phone (208) 239-2110

Fax (208) 239-2119

Enumeration date May 14, 2007

Last updated in NPPES Aug 3, 2025

Taxonomy & licenses

2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License AT-492 (ID) Secondary

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA-952 (ID) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Jared Wilson?

Jared Wilson is registered in NPPES with the primary taxonomy of Surgical Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-03.