DANIEL A SQUIRE (PA-C) – Physician Assistant, NPI 1447734892

DANIEL A SQUIRE (PA-C) is a healthcare provider. based in Saint anthony, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA-1661 (ID). The NPI Number for DANIEL A SQUIRE (PA-C) is 1447734892

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL A SQUIRE (PA-C)
NPI
1447734892
Phone
(208) 356-4900
Address
335 E Main St Ste 1
Enumeration Date
21 September 2018
Last Update Date
2 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083564900
Graduation Year
2018 (8 years ago)
PAC ID
7113265745
Group Practice PAC ID
4385725282
Professional Enrollment ID
I20190206002251
Address ID
ID834451546SA335XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,531 PHYSICIAN ASSISTANT in ID

Provider Addresses for DANIEL A SQUIRE (PA-C)

  • 335 E Main St Ste 1

    Saint Anthony, ID 834451546

    Phone: (208) 356-4900

    Fax: (208) 624-4116

    Type: Location

  • 3729 Woodking Dr Ste 1

    Idaho Falls, ID 834044720

    Phone: (208) 356-4900

    Fax: (208) 612-6118

    Type: Location

  • 72 S 1st E Ste 101

    Rexburg, ID 834401965

    Phone: (208) 356-4900

    Fax: (208) 356-4900

    Type: Location

  • 72 S 1st E Ste 103

    Rexburg, ID 834401965

    Phone: (208) 356-4900

    Fax: (208) 372-1023

    Type: Location

  • Nampa, Canyon County, Idaho, United States

    NAMPA, ID 836530009

    Phone: (208) 461-7149

    Fax: (208) 467-3391

    Type: Mailing

  • 207, 1st Street South, Nampa, Canyon County, Idaho, 83651, United States

    NAMPA, ID 836513703

    Phone: (208) 466-7869

    Fax: (208) 466-5359

    Type: Location

  • PO BOX 18

    SAINT ANTHONY, ID 834450018

    Phone: (208) 356-4900

    Fax: (208) 624-4112

    Type: Mailing

  • 335 E MAIN ST STE 3

    SAINT ANTHONY, ID 834451546

    Phone: (208) 356-4900

    Fax: (208) 624-4030

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-02-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190206002251IPhysician AssistantIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83445)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385725282View full group profile
NameSpecialtyState
Clinical Social WorkerID
Clinical Social WorkerID
Clinical Social WorkerID
Clinical Social WorkerID
Physician AssistantID
General PracticeID
Clinical Social WorkerID
Physician AssistantID
Clinical Social WorkerID
Nurse PractitionerID

Reviews

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Frequently asked questions

Can I cross-check DANIEL A SQUIRE (PA-C) using NPI 1447734892?
NPI 1447734892 belongs to DANIEL A SQUIRE (PA-C); compare other details if you need extra assurance.
Active or inactive — what applies to DANIEL A SQUIRE (PA-C)?
You should see DANIEL A SQUIRE (PA-C) as active in CMS-hosted NPPES data.
What kind of doctor is DANIEL A SQUIRE (PA-C)?
DANIEL A SQUIRE (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DANIEL A SQUIRE (PA-C)?
Travel planning: use Saint Anthony, Idaho as the reference point for DANIEL A SQUIRE (PA-C), then confirm.
Does DANIEL A SQUIRE (PA-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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