Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jeremy David Willes, PAC

Physician Assistant in Twin Falls, ID · enumerated 2006 · practices at Southern Idaho Radiology PA.

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

National Provider Identifier

1356314843

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Registry record

Entity type Individual (Type 1)

Name Jeremy David Willes

Credential PAC

Sex Male

Practice address 260 Falls Ave, Suite C, Twin Falls, ID, 83301

Phone (208) 736-7422

Fax (208) 736-8905

Enumeration date Feb 7, 2006

Last updated in NPPES May 8, 2013

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA638 (ID) Primary

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA882 (NV) Secondary

Other identifiers

Identifier	Type	State	Issuer
000010161378	Other	ID	BLUE SHIELD
807683300	Medicaid	ID	-
807683301	Medicaid	ID	-
PAE68	Other	ID	BLUE CROSS
000010161377	Other	ID	BLUE SHIELD
100504125	Medicaid	NV	-
PAE69	Other	ID	BLUE CROSS

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Jeremy Willes practice?

The practice location on file with NPPES is in Twin Falls, ID. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Jeremy Willes?

The National Provider Identifier (NPI) for Jeremy Willes is 1356314843, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Southern Idaho Radiology PA Diagnostic Radiology Physician · Twin Falls, ID NPI 1295771129 Terry Buccambuso Diagnostic Radiology Physician · Twin Falls, ID NPI 1902842271 Michael Holzer Diagnostic Radiology Physician · Twin Falls, ID NPI 1255361150 Evan Thomas Diagnostic Radiology Physician · Twin Falls, ID NPI 1447284591 Robert Wasserstrom Diagnostic Radiology Physician · Twin Falls, ID NPI 1982638037 Chad Nielson Chiropractor · Twin Falls, ID NPI 1952458127 Mark Taylor Physical Therapist · Twin Falls, ID NPI 1134374796

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-05-08.