Individual provider Active NPI

Adam Racowsky, PA

  • Physician Assistant
  • Boise, ID
National Provider Identifier
1184127797
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-1803 Issued in ID
Practice address
6051 W Emerald St
Boise, ID 83704-8969
Phone
(208) 302-5150
Fax
(208) 302-5155
NPI assigned
Mar 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA-1803 ID Primary

Addresses

Primary practice location

6051 W Emerald St
Boise, ID 83704-8969

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 302-9342

Other practice location 1

1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 712-7100

Other practice location 2

9300 W Overland Rd Ste 150
Boise, ID 83709-8267
Phone (208) 268-8024

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191223000517 ID Practitioner - Physician Assistant 5496004285 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3025 W Cherry LN
Meridian, ID 83642-8531

6022 W Emerald St
Boise, ID 83704-8855
Phone (208) 367-4603

6051 W Emerald St
Boise, ID 83704-8969
Phone (208) 302-5100

6094 W Emerald St
Boise, ID 83704-8855
Phone (208) 302-1000

910 NW 16TH St
Fruitland, ID 83619-2265

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-1803IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince May 1, 2025 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince May 1, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince May 1, 2025 Accepting new patients
Cep America LLC CurrentSince Aug 1, 2021 Accepting new patients
Sterling Provider Group CurrentSince Jan 13, 2024 Accepting new patients
Sterling Provider Group CurrentSince Jan 13, 2024 Accepting new patients
Cep America LLC CurrentSince Aug 1, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Physician Assistant CurrentSince May 1, 2025 Accepting new patients
Urgent Care Associates PLLC Current Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

6051 W Emerald St
Boise, ID 83704
Phone (208) 302-5100

1129 S Broadway Ave
Boise, ID 83706
Phone (208) 795-9790

6965 N Glenwood St
Boise, ID 83714
Phone (208) 853-3000

10965 W Overland Rd
Boise, ID 83709
Phone (208) 900-9901

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

1404 Pomerelle Ave
Ste A1
Burley, ID 83318
Phone (208) 878-8783

5605 Northside Xing
Chubbuck, ID 83202
Phone (208) 547-5062

910 NW 16th St
Ste 101
Fruitland, ID 83619
Phone (208) 452-8000

507 S Main St
Hailey, ID 83333
Phone (208) 788-0061

740 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 542-9111

7017 Daisy Ln
Idaho Falls, ID 83402
Phone (208) 534-5878

2201 Thain Grade
Lewiston, ID 83501
Phone (208) 717-3100

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

3185 E Ustick Rd
Meridian, ID 83646
Phone (208) 296-7100

1693 S Meridian Rd
#110
Meridian, ID 83642

1610 Caldwell Blvd
Nampa, ID 83651
Phone (208) 207-8500

900 N Highway 41
Ste 2
Post Falls, ID 83854
Phone (208) 457-7100

130 W Main St
Rexburg, ID 83440
Phone (208) 356-8818

Interoperability endpoints

  • Direct secure messaging: aracowsky1564460@direct.trinity-health.org

Organizations & group practices 11

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1184127797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-302-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 W EMERALD ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048969",
            "telephone_number": "208-302-5150",
            "fax_number": "208-302-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1364 Clifton Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221059",
            "country_code": "US",
            "telephone_number": "404-712-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300 W Overland Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837098267",
            "country_code": "US",
            "telephone_number": "208-268-8024",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACOWSKY",
        "first_name": "ADAM",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-10",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.