DANIEL A SQUIRE (PA-C) – Physician Assistant, NPI 1447734892
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) | $125 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190206002251 | I | Physician Assistant | ID | TBD |
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.
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
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | ID | |
| Clinical Social Worker | ID | |
| Clinical Social Worker | ID | |
| Clinical Social Worker | ID | |
| Physician Assistant | ID | |
| General Practice | ID | |
| Clinical Social Worker | ID | |
| Physician Assistant | ID | |
| Clinical Social Worker | ID | |
| Nurse Practitioner | ID |
Reviews
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