NPPES file of Aug 9, 2026

Kenneth William Jackson, PA

Physician Assistant · Idaho Falls, ID

Kenneth William Jackson, PA is a physician assistant with a practice address in Idaho Falls, Idaho, and NPI 1194587824, issued on Jan 29, 2024. Check the license (Idaho 7871497, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1194587824
Name
Kenneth William Jackson
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
License numbers
7871497 ID
TC075 KY
Self-reported in NPPES; status is on the state search
Practice location
3200 Channing Way Ste A206, Idaho Falls, ID 83404
Phone
(208) 529-2230
Enumerated
Jan 29, 2024
Record last updated
Jun 9, 2026
Fax
(208) 561-8061
Medicare enrollment
Enrolled (PECOS I20241113004011); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest physician assistant records → All 1,250 in Idaho → Look up another NPI →

Also registered at 3200 Channing Way Ste A206

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. McKenzie HartPhysician Assistant1578059143
  2. Derrick JorgensenPhysician Assistant1609519198
  3. Ashley Klink, PA-CPhysician Assistant1184307621
  4. Daniel Rick, PAPhysician Assistant1770764136
  5. Chance SmithSurgery Physician1598388019

Verify Kenneth William Jackson in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Idaho board licenses this profession
    Search for license 7871497    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Idaho license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through 2 group practices

  1. Baptist Health Medical Group IncCorbin, KY
  2. Steele Lake Specialty PLLCIdaho Falls, ID

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kenneth William Jackson among 1,250 physician assistant records in Idaho

Kenneth William Jackson, PA 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 2024, is newer than 95% of them.

  • NPI issued2024 · 95% of these records are older, 3% 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

  1. Serena Adams, PA-CIdaho Falls, ID 834041669543450
  2. Joseph Anderson, PA-CIdaho Falls, ID 834041386699833
  3. Rebekah Bird, PAIdaho Falls, ID 834041447448964
  4. Tiffany Coughenour, PAIdaho Falls, ID 834041205959756
  5. Vanessa French, PA-CIdaho Falls, ID 834041588851984
  6. Philip Hesse, PAIdaho Falls, ID 834041811975386
  7. Matthew Merzlock, PA-CIdaho Falls, ID 834041316985229
  8. Monica Nealis, PA-CIdaho Falls, ID 834041073676805

Common questions

What is Kenneth William Jackson, PA's NPI number?

Kenneth William Jackson, PA's National Provider Identifier (NPI) is 1194587824, issued on Jan 29, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Kenneth William Jackson, PA located?

The NPPES record lists a practice address at 3200 Channing Way Ste A206, Idaho Falls, ID, 83404. Phone: (208) 529-2230. Providers update this record themselves, so call before visiting.

How can I verify Kenneth William Jackson, PA's license?

NPPES lists Idaho license number 7871497, 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.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

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.