Active NPI
Rachel King, PA
- Physician Assistant
- Boise, ID
National Provider Identifier
1205826245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA521
- Practice address
- 6454 W Emerald St
Boise, ID 83704-8734 - Phone
- (208) 377-0820
- Fax
- (208) 375-8046
- NPI assigned
- Oct 21, 2005
- Last updated
- Jul 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA521 | ID | Primary |
Addresses
Primary practice location
6454 W Emerald St
Boise, ID 83704-8734
Mailing address
6454 W Emerald St
Boise, ID 83704-8734
Phone (208) 377-0820
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PAMR8 | Other | ID | BLUE CROSS |
| 000010148623 | Other | ID | BLUE SHIELD |
| 000010148622 | Other | ID | BLUE SHIELD |
| 807029900 | Medicaid | ID | |
| PACD0 | Other | ID | BLUE CROSS |
Other names 1
- Mrs. Rachel King
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, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
6454 W Emerald St
Boise, ID 83704-8734
Phone (208) 377-0820
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.76 of 100
- Quality
- 75.53
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA521 | ID | MD | Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Procedural Dermatology Physician
- Boise, ID
- NPI 1952483299
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saint Alphonsus RMC TVL
- General Acute Care Hospital
- Boise, ID
- NPI 1184155426
-
dba St Alphonsus Rehabilitation Services
- General Acute Care Hospital
- Boise, ID
- NPI 1457414948
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
Hospital
-
- General Acute Care Hospital
- Boise, ID
- NPI 1992736649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1205826245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6454 W EMERALD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837048734",
"telephone_number": "208-377-0820",
"fax_number": "208-375-8046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6454 W EMERALD ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837048734",
"telephone_number": "208-377-0820",
"fax_number": "208-375-8046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "RACHEL",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-21",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "PAMR8",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010148623",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000010148622",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807029900",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "PACD0",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "KING",
"prefix": "MRS.",
"credential": "PA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.