P Praxis·MD
● Active Type 1 · Individual

Angela M Kehlenbrink, PA

Physician Assistant·Boise, ID· NPI 1457966376 · Enumerated 2020 · 5 years on NPI
Kehlenbrink is 1 of 363 physician assistant providers in Boise and 1 of 1263 in Idaho.
NPI age
5 years
Enumerated 2020-09-09
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
IN, ID
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-05-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1263 active physician assistant providers in Idaho.

NPI age
5 years
↓ 4 yr below median (9 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
0
35% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-09Enumerated in NPPES
2020 2026

Where they practice

Practice location
190 E Bannock St
Boise, ID 837126241
📞 2083812088fax 2083812893
Mailing address
190 E Bannock St
Boise, ID 837126241
fax 3177776644

Additional practice locations

1 secondary location on file with NPPES.

Location 2
705 Riley Hospital Dr
Indianapolis, IN 462025109
📞 3172744779fax 3179489806

Specialties

  • Physician Assistant Primary
    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...
    IN license #10003079AID license #3771758 taxonomy 363A00000X

Identifiers

TypeValueNotes
05 (IN) 300046601
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 671 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new physician assistant providers have 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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