EMILY JEANNE TRANTHAM (PA-C) – Physician Assistant, NPI 1487388260

EMILY JEANNE TRANTHAM (PA-C) is a healthcare provider. based in Pocatello, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2561975 (ID). The NPI Number for EMILY JEANNE TRANTHAM (PA-C) is 1487388260

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
EMILY JEANNE TRANTHAM (PA-C)
NPI
1487388260
Phone
(208) 282-4726
Address
921 S 8TH AVE STOP 8253
Enumeration Date
15 July 2022
Last Update Date
4 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085630001
Graduation Year
2024 (2 years ago)
PAC ID
9739609108
Group Practice PAC ID
4284179623
Professional Enrollment ID
I20250228001451
Address ID
ID836428540ME875XXWAYX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,534 PHYSICIAN ASSISTANT in ID

Provider Addresses for EMILY JEANNE TRANTHAM (PA-C)

  • 921 S 8TH AVE STOP 8253

    POCATELLO, ID 832090002

    Phone: (208) 282-4726

    Type: Mailing

  • 4727 N WATERFRONT WAY

    BOISE, ID 837032772

    Phone: (360) 524-1521

    Type: Mailing

  • 875 S VANGUARD WAY STE 200B

    MERIDIAN, ID 836428956

    Phone: (360) 524-1521

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-02-28

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
I20250228001451IPhysician 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 83209)

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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: 4284179623View full group profile
NameSpecialtyState
Orthopedic SurgeryID

Reviews

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Frequently asked questions

What is EMILY JEANNE TRANTHAM (PA-C)'s NPI number?
EMILY JEANNE TRANTHAM (PA-C)'s NPI is 1487388260 — the number used across U.S. healthcare to identify this provider.
Is there an active status for EMILY JEANNE TRANTHAM (PA-C)?
For scheduling context, EMILY JEANNE TRANTHAM (PA-C) is shown as active in the registry.
What kind of doctor is EMILY JEANNE TRANTHAM (PA-C)?
EMILY JEANNE TRANTHAM (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is EMILY JEANNE TRANTHAM (PA-C) located near Pocatello?
EMILY JEANNE TRANTHAM (PA-C) currently maps to Pocatello, Idaho in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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