P Praxis·MD
● Active Type 1 · Individual

Kimberly Rose Mrozek, PA-C

Physician Assistant·Boise, ID· NPI 1164985867 · Enumerated 2019 · 7 years on NPI
Mrozek is 1 of 91 physician assistant providers in Boise and 1 of 387 in Idaho.
NPI age
7 years
Enumerated 2019-04-09
Primary specialty
Physician Assistant
Plus 4 subspecialties
Licensed in
ID, WI, KY
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-21
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
7 years
↓ 8 yr below median (15 yr)
State licenses
3 states
Top 83% — 16% of peers are multi-state
Subspecialties
2
In the 30% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-04Enumerated in NPPES
2019 2026

Where they practice

Practice location
190 E Bannock St Fl 10
Boise, ID 837126241
📞 2083815500fax 2083812555
Mailing address
190 E Bannock St
Boise, ID 837126241

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1836 South Ave
La Crosse, WI 546015429
📞 6087827300

Specialties

  • Physician Assistant Primary
    Definition to come...
    ID license #3271156WI license #4845KY license #TC074 taxonomy 363AM0700X
  • 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...
    KY license #PA2816 taxonomy 363A00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Boise in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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