NPI age
19 years
Enumerated 2007-01-17
● Active
Type 1 · Individual
Brent D. Kooy, P.A.
Kooy is 1 of 33 physician assistant providers in Meridian and 1 of 387 in Idaho.
Primary specialty
Physician Assistant
Plus 3 subspecialties
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 387 active physician assistant providers in Idaho.
NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
1
In the 30% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Practice location
3015 E Magic View Dr
Meridian, ID 83642
Mailing address
3015 E Magic View Dr
Meridian, ID 83642
Specialties
-
Physician Assistant PrimaryDefinition to come...
-
Physician AssistantDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 8418030 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.