Psychiatric Associates Services PLLC
NPI 1053074302ActiveOrganization· Physician Assistant· Nampa, ID
Physician Assistant in Nampa, Idaho, registered in NPPES in October 2021. The authorized official on file is William Short, PA, Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053074302 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 14, 2021 |
| Last updated in NPPES | Sep 28, 2023 |
| Certified by provider | Sep 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
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