Jaceson Banham, PA-C
Physician Assistant · Idaho Falls, ID
Jaceson Banham, PA-C is a physician assistant with a practice address in Idaho Falls, Idaho, and NPI 1295544344, issued on Jan 3, 2025. Check the license (Idaho 8671842, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jaceson Banham
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 8671842 ID
Self-reported in NPPES; status is on the state search - Practice location
- 1957 E 17TH St, Idaho Falls, ID 83404
- Phone
- (208) 523-1100
- Enumerated
- Jan 3, 2025
- Record last updated
- Jun 8, 2026
- Medicare enrollment
- Enrolled (PECOS I20250303000247); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 1,250 in Idaho → Look up another NPI →
Also registered at 1957 E 17TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Sydney Dustin, MDA, RDN, LDRegistered Dietitian1073448478
- Ryan EnglisNurse Practitioner1427600501
- Luana Tomchak, R.D.Registered Dietitian1053570515
- Sheryl Yee, LCSWClinical Social Worker1275269557
Verify Jaceson Banham in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license 8671842Check 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
- Mountain View Hospital LLCIdaho Falls, ID
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jaceson Banham among 1,250 physician assistant records in Idaho
Jaceson Banham, PA-C 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 2025, is newer than 97% of them.
- NPI issued2025 · 97% of these records are older, under 1% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 77% of these records are
- Graduated2024 · 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).
98 physician assistant records list a practice address in Idaho Falls
They are 98 of the 2,467 NPPES records with a practice address in Idaho Falls, and 1,250 physician assistant records in Idaho.
All 1,250 in Idaho → Every provider in Idaho Falls → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Serena Adams, PA-CIdaho Falls, ID 834041669543450
- Joseph Anderson, PA-CIdaho Falls, ID 834041386699833
- Rebekah Bird, PAIdaho Falls, ID 834041447448964
- Tiffany Coughenour, PAIdaho Falls, ID 834041205959756
- Vanessa French, PA-CIdaho Falls, ID 834041588851984
- Philip Hesse, PAIdaho Falls, ID 834041811975386
- Matthew Merzlock, PA-CIdaho Falls, ID 834041316985229
- Monica Nealis, PA-CIdaho Falls, ID 834041073676805
Common questions
What is Jaceson Banham, PA-C's NPI number?
Jaceson Banham, PA-C's National Provider Identifier (NPI) is 1295544344, issued on Jan 3, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Jaceson Banham, PA-C located?
The NPPES record lists a practice address at 1957 E 17TH St, Idaho Falls, ID, 83404. Phone: (208) 523-1100. Providers update this record themselves, so call before visiting.
How can I verify Jaceson Banham, PA-C's license?
NPPES lists Idaho license number 8671842, 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.