Casandra Odoms
Physician Assistant · Boise, ID
Casandra Odoms is a physician assistant with a practice address in Boise, Idaho, and NPI 1205516697, issued on Jul 20, 2023. Check the license (Idaho 5271988, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Casandra Odoms
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 5271988 ID
Self-reported in NPPES; status is on the state search - Practice location
- 222 N 2ND St Ste 204, Boise, ID 83702
- Phone
- (208) 429-9100
- Enumerated
- Jul 20, 2023
- Record last updated
- Jan 5, 2026
- Medicare enrollment
- Enrolled (PECOS I20260403001362); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 1,250 in Idaho → Look up another NPI →
Also registered at 222 N 2ND St Ste 204
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ashley Davis, MDFamily Medicine Physician1437180841
- Alma Osborn, N.P.General Practice Registered Nurse1679630362
- Melisa Randall, PAPhysician Assistant1427782549
Verify Casandra Odoms in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license 5271988Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Ashley A Davis M.d.p.c.Boise, ID
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Casandra Odoms among 1,250 physician assistant records in Idaho
Casandra Odoms is one of 1,250 physician assistant records with a practice address in Idaho. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 88% of them.
- NPI issued2023 · 88% of these records are older, 5% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 77% of these records are
- Graduated2025 · median 2017 among the 961 with a school on file
- Record last updated2026 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
362 physician assistant records list a practice address in Boise
They are 362 of the 9,467 NPPES records with a practice address in Boise, and 1,250 physician assistant records in Idaho.
All 1,250 in Idaho → Every provider in Boise → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Nicole Amideo, PA-CBoise, ID 837021700813714
- Kathleen Duffy, PA-CBoise, ID 837021154301141
- Freddie Friel, PABoise, ID 837021730131178
- Kevin Hudson, PA-CBoise, ID 837021922088905
- Benjamin Kerns, PABoise, ID 837021659388783
- Darrell King, PABoise, ID 837021770573644
- James Lang, PA-CBoise, ID 837021215948237
- James McColly, M.P.A.S., PA-CBoise, ID 837021851326045
Common questions
What is Casandra Odoms's NPI number?
Casandra Odoms's National Provider Identifier (NPI) is 1205516697, issued on Jul 20, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Casandra Odoms located?
The NPPES record lists a practice address at 222 N 2ND St Ste 204, Boise, ID, 83702. Phone: (208) 429-9100. Providers update this record themselves, so call before visiting.
How can I verify Casandra Odoms's license?
NPPES lists Idaho license number 5271988, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.