Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Evan Dayne Ivie, PA
Physician Assistant in Ammon, ID · enumerated 2014.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1558765891
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Registry record
Entity type Individual (Type 1)
Name Evan Dayne Ivie
Credential PA
Sex Male
Practice address 3456 E 17th St Ste 190, Ammon, ID, 83406
Phone (208) 524-2222
Fax (855) 999-9242
Enumeration date Oct 15, 2014
Last updated in NPPES Sep 3, 2025
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA-1265 (ID) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174919534 | Medicaid | ID | - |
| 473675862 | Medicaid | ID | - |
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.
Frequently asked questions
Where does Evan Ivie practice?
The practice location on file with NPPES is in Ammon, ID. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Evan Ivie?
The National Provider Identifier (NPI) for Evan Ivie is 1558765891, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-03.