JOSIAH ANDERSON (PA) – Medical Physician Assistant, NPI 1891422366

JOSIAH ANDERSON (PA) is a healthcare provider. based in Pocatello, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for JOSIAH ANDERSON (PA) is 1891422366

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
JOSIAH ANDERSON (PA)
NPI
1891422366
Phone
(208) 282-4726
Address
921 S 8TH AVE STOP 8253
Enumeration Date
4 August 2022
Last Update Date
25 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9077771850
Graduation Year
2024 (2 years ago)
PAC ID
8921531716
Group Practice PAC ID
0446653117
Professional Enrollment ID
I20241031004101
Address ID
AK995084642AN3801XDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:3State licenses:0Digital endpointsOther names

1,531 PHYSICIAN ASSISTANT in ID

Provider Addresses for JOSIAH ANDERSON (PA)

  • 921 S 8TH AVE STOP 8253

    POCATELLO, ID 832090002

    Phone: (208) 282-4726

    Type: Mailing

  • 2741 DEBARR RD STE C307

    ANCHORAGE, AK 995082972

    Phone: (907) 777-1850

    Type: Mailing

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: 2024-10-31

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
I20241031004101IPhysician AssistantAKTBD

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: 0446653117View full group profile
NameSpecialtyState
Family PracticeAK
Physician AssistantAK
Family PracticeAK
Family PracticeAK
Family PracticeAK
Family PracticeAK
Physician AssistantAK
Family PracticeAK
Physician AssistantAK
Family Practice, General SurgeryAK

Reviews

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Frequently asked questions

Is there an official ID for JOSIAH ANDERSON (PA) in U.S. healthcare records?
The official identifier for JOSIAH ANDERSON (PA) is NPI 1891422366.
Active or inactive — what applies to JOSIAH ANDERSON (PA)?
You should see JOSIAH ANDERSON (PA) as active in CMS-hosted NPPES data.
What kind of doctor is JOSIAH ANDERSON (PA)?
JOSIAH ANDERSON (PA) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is JOSIAH ANDERSON (PA) located near Pocatello?
JOSIAH ANDERSON (PA) currently maps to Pocatello, Idaho in this extract.
When was this NPI issued?
Enumeration for JOSIAH ANDERSON (PA) is noted as August 4, 2022 where the registry provides it.

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