Jaceson Banham, PA-C
NPI 1295544344 · Physician Assistant · Idaho Falls, ID
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jaceson Banham, PA-C is a Physician Assistant provider in Idaho Falls, ID (NPI 1295544344).
Provider details
- NPI number
- 1295544344
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 8671842 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 725 Pole Line Rd WTwin Falls, ID 83301-5800Phone: (208) 814-1600Fax: (208) 814-1910
Registry dates
- Enumerated
- 2025-01-03
- Last updated
- 2026-06-05
- Certified
- 2026-06-05
Frequently asked questions
- What is Jaceson Banham's NPI number?
- Jaceson Banham's National Provider Identifier (NPI) is 1295544344, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaceson Banham's specialty?
- Jaceson Banham is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jaceson Banham located?
- Jaceson Banham's practice location on file with NPPES is 3425 Potomac Way, Idaho Falls, ID 83404-4984.
- What is Jaceson Banham's phone number?
- The practice phone number listed in the NPPES registry for Jaceson Banham is (208) 528-8170.
- Does Jaceson Banham accept Medicare?
- Jaceson Banham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jaceson Banham's NPI active?
- Yes — Jaceson Banham's NPI (1295544344) is active in the NPPES registry as of the last update on 2026-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.