Andrew William Baukol, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2939 W Excursion LN
Meridian, ID 83642-5308

Phone

(208) 385-7711

NPI assigned

Dec 5, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abaukol@premierbonejc1834.srs-direct.com

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.

• Saint Alphonsus Medical Center Nampa, Inc.

  • General Acute Care Hospital
  • Nampa, ID
  • NPI 1659371870
  Medicare reassignment
• Gem City Bone & Joint PC

  • Orthopaedic Surgery Physician
  • Laramie, WY
  • NPI 1366412397
  NPD
• Gem City Bone & Joint PC

  • Durable Medical Equipment & Medical Supplies
  • Laramie, WY
  • NPI 1952441164
  NPD
• Functional Medicine of Idaho PC

  • Family Medicine Physician
  • Boise, ID
  • NPI 1336656040
  NPD (past)
• Carolina Orthopaedic and Neurosurgical Associates

  • Orthopaedic Surgery Physician
  • Columbus, NC
  • NPI 1083309074
  NPD (past)
• Gem City Bone & Joint PC

  • Ambulatory Surgical Clinic/Center
  • Laramie, WY
  • NPI 1518947589
  NPD (past)

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1578808333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 W EXCURSION LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425308",
            "telephone_number": "208-385-7711",
            "fax_number": "208-385-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 W EXCURSION LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425308",
            "telephone_number": "208-385-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUKOL",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-05",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bathworks LLC
• Anthony Batiz, PHARMD
• Marisa A Battaglia, MD
• Sam G Battaglia, MD
• Laci Bauer, NP-C
• Jacqueline Christina Baxter, OTR/L
• Rebecca Baxter
• Jasmine Elizabeth Bazinet, PHARMD
• BBC Silverstone LLC (Lyra Total Breast Health)
• BCS PA Dba Personal Solutions (Personal Solutions)

• Physician Assistant in Meridian, ID
• Providers in Meridian, ID by specialty
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.