Individual provider Active NPI

Rebecca Mae Kirsch, DO

  • General Practice Physician
  • Boise, ID
National Provider Identifier
1255378089
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
O-0358 Issued in ID
Practice address
3237 S Federal Way
Boise, ID 83705-5215
Phone
(208) 690-2401
Fax
(208) 639-1836
NPI assigned
Jun 1, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0102202755 VA
General Practice Physician 208D00000X O-0358 ID Primary

Addresses

Primary practice location

3237 S Federal Way
Boise, ID 83705-5215

Mailing address

3237 S Federal Way
Boise, ID 83705-5215
Phone (208) 690-2401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050921000743 ID Practitioner - Emergency Medicine 7719911528 Reassigns benefits to 2 organizations
I20110217000387 VA Practitioner - Emergency Medicine 7719911528 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Weiser Valley Hospital District CurrentSince Jan 18, 2015 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Nov 7, 2024 Accepting new patients
Weiser Valley Hospital District CurrentSince Jan 18, 2015 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Nov 1, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Nov 7, 2024 Accepting new patients
Weiser Valley Hospital District CurrentSince Jan 1, 2026 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Weiser Valley Hospital District Past Accepting new patients

Locations

645 E 5th St
Weiser, ID 83672
Phone (208) 549-0370

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

2204 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3100

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1255378089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 S FEDERAL WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837055215",
            "telephone_number": "208-690-2401",
            "fax_number": "208-639-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 S FEDERAL WAY",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837055215",
            "telephone_number": "208-690-2401",
            "fax_number": "208-639-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRSCH",
        "first_name": "REBECCA",
        "middle_name": "MAE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102202755",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ID",
            "license": "O-0358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.