Active NPI
Courtney M Combe, PA-C
- Physician Assistant
- Meridian, ID
National Provider Identifier
1053740290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-1121
- Practice address
- 3071 E Franklin Rd Ste 201
Meridian, ID 83642-2376 - Phone
- (208) 807-2877
- Fax
- (208) 207-2888
- NPI assigned
- Nov 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA-1121 | ID | |
| Physician Assistant | 363A00000X | PA-1121 | ID | Primary |
Addresses
Primary practice location
3071 E Franklin Rd Ste 201
Meridian, ID 83642-2376
Mailing address
1775 W State St # 383
Boise, ID 83702-3924
Phone (208) 912-4416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1019 W Sanetta St
Nampa, ID 83651-5047
Phone (208) 462-3392
1031 W Sanetta St
Nampa, ID 83651-5047
Phone (208) 462-3392
1775 W State St
Suite 383
Boise, ID 83702-3924
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-1121 | ID | MD | Physician Assistant |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physician Assistant
- Nampa, ID
- NPI 1053074302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1053740290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 W STATE ST # 383",
"city": "BOISE",
"state": "ID",
"postal_code": "837023924",
"telephone_number": "208-912-4416",
"fax_number": "208-549-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3071 E FRANKLIN RD STE 201",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836422376",
"telephone_number": "208-807-2877",
"fax_number": "208-207-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMBE",
"first_name": "COURTNEY",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-07",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ID",
"license": "PA-1121",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-1121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
- Bradford Collett, PT, DPT
- Brandie Dawn Collins, PA
- Carolyn Collins, M.S. CCC-SLP
- Paul Calvin Collins, M.D.
- Isabel Marie Colquhoun
- Communicare, Inc
- Communicare, Inc.
- Communicate Therapy Services LLC
- Community Health Clinics, Inc. (Terry Reilly Health Services)
- Community Health Clinics, Inc. (Terry Reilly Health Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.