NPI age
4 years
Enumerated 2022-06-13
● Active
Type 1 · Individual
Kelly Anderson
Anderson is 1 of 369 physician assistant providers in Boise and 1 of 1,277 in Idaho.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-10-28
Source: CMS NPPES provider record
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1277 active physician assistant providers in Idaho.
NPI age
4 years
↓ 6 yr below median (10 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2022 → 2022
2022-06Enumerated in NPPES
2022
2022
Where they practice
Practice location
6051 W Emerald St
Boise, ID 837048969
Mailing address
3340 E Goldstone Dr
Meridian, ID 836421026
Additional practice locations
1 secondary location on file with NPPES.
Location 2
2506 1/2 N Heights Dr
Boise, ID 837022836
Specialties
-
Physician Assistant PrimaryA 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...
Medicare directory context
Medicare specialties
Physician Assistant
Largest Medicare group
673 members
Largest listed enrollment group
Facility affiliations reported by CMS
- Saint Alphonsus Regional Medical Center Inc
Practice context
Part of a multi-provider practice. 55 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new physician assistant providers have been added in Boise in the last 180 days.
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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.