Individual provider Active NPI

Paige Victoria Lea, PA-C

  • Physician Assistant
  • Boca Raton, FL
National Provider Identifier
1376392134
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4700 Exchange CT Ste 18533431
Boca Raton, FL 33431-4450
Phone
(561) 241-6676
NPI assigned
May 15, 2024
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CO Primary

Addresses

Primary practice location

4700 Exchange CT Ste 18533431
Boca Raton, FL 33431-4450

Mailing address

8344 W Sloan St
Boise, ID 83714-2189
Phone (208) 409-3576

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
I20250219000785 ID Practitioner - Physician Assistant 6204356454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Direct Orthopedic Care LLCGroup PAC ID 2163648155, 32 clinicians

Practice addresses (Care Compare)

3015 E Magic View Dr
Meridian, ID 83642-3743
Phone (208) 321-4000

7979 W Rifleman St
Suite 110
Boise, ID 83704-9066
Phone (208) 321-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Orthopedic Care LLC Orthopaedic Surgery CurrentSince Feb 1, 2025 Accepting new patients
Straun Health & Wellness Past Accepting new patients

Locations

1789 S Broadway Ave
Boise, ID 83706
Phone (208) 321-4000

7979 W Rifleman St
Boise, ID 83704
Phone (208) 321-4000

7979 W Rifleman St
Ste 110
Boise, ID 83704
Phone (208) 321-4000

3015 E Magic View Dr
Ste 115
Meridian, ID 83642
Phone (208) 321-4000

3015 E Magic View Dr
Ste 130
Meridian, ID 83642
Phone (208) 482-5567

4842 N Cortona Way
Ste 110
Meridian, ID 83646
Phone (208) 321-4000

16818 N Marketplace Blvd
Nampa, ID 83687
Phone (208) 321-4000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23172/brand/1/csg/1/fhir/r4
  • Direct secure messaging: paige.lea.1@23172.direct.athenahealth.com

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, 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": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1376392134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8344 W SLOAN ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837142189",
            "telephone_number": "208-409-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 18533431",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-241-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEA",
        "first_name": "PAIGE",
        "middle_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.