Kim Wilson, PA-C - Medicare Physician Assistant in Boise, ID

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Kim Wilson, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Boise, Idaho. He graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Saint Alphonsus Regional Medical Center Inc, Gem State Radiology Llp, Direct Orthopedic Care Llc, Saint Alphonsus Regional Medical Center Inc, Gem State Radiology Llp and his current practice location is 1055 N Curtis Rd, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 367-8855.

Kim Wilson is licensed to practice in Idaho (license number PA1456) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073982245.

Contact Information

Kim Wilson, PA-C
1055 N Curtis Rd,
Boise, ID 83706-1309
(208) 367-8855
(208) 367-2989

Map and Direction




Provider's Profile

Full NameKim Wilson
GenderMale
SpecialityPhysician Assistant
Experience10 Years
Location1055 N Curtis Rd, Boise, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kim Wilson graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1073982245
  • Provider Enumeration Date: 09/17/2015
  • Last Update Date: 11/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7012299738
  • Enrollment ID: I20170118001252

Medical Identifiers

Medical identifiers for Kim Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073982245NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical (* (Not Available))Secondary
363AS0400XPhysician Assistant - Surgical PA1456 (Idaho)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Alphonsus Medical Center - NampaNampa, IDHospital
Saint Alphonsus Regional Medical CenterBoise, IDHospital
Saint Alphonsus Medical Center OntarioOntario, ORHospital
St Luke's Regional Medical CenterBoise, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Alphonsus Regional Medical Center Inc3476462359672
Gem State Radiology Llp933504483360
Direct Orthopedic Care Llc216364815532
Saint Alphonsus Regional Medical Center Inc3476462359672
Gem State Radiology Llp933504483360

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kim Wilson allows following entities to bill medicare on his behalf.
Entity NameGem State Radiology LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083661508
PECOS PAC ID: 9335044833
Enrollment ID: O20031205000623
Entity NameSaint Alphonsus Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649357716
PECOS PAC ID: 3476462359
Enrollment ID: O20040204001036
Entity NameIntermountain Medical Imaging LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669423679
PECOS PAC ID: 7517870918
Enrollment ID: O20090130000423
Entity NameDirect Orthopedic Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356769434
PECOS PAC ID: 2163648155
Enrollment ID: O20140729000161

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kim Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kim Wilson, PA-C
Po Box 190930,
Boise, ID 83719-0930

Ph: (208) 367-5170		Kim Wilson, PA-C
1055 N Curtis Rd,
Boise, ID 83706-1309

Ph: (208) 367-8855

Reviews and Comments


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Phone: 208-381-6930    Fax: 208-381-6931
Micah Ray Tobin, PA
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Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709
Phone: 208-302-5950    Fax: 208-302-5955
Jason H. Mcbride, PA-C
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Medicare: Medicare Enrolled
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-3131    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.