Individual provider · Type 1 NPI

Mitchell Jentzsch, PA-C

Physician Assistant · Boise, ID

NPI number 1932078151 Active

Practice location

777 N Raymond St
Boise, ID 83704-9251

Call (208) 514-2500 Map

Fax (208) 375-2217

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X6471595 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1932078151

Mitchell Jentzsch, PA-C's National Provider Identifier is 1932078151, issued on Nov 4, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Feb 12, 2026.