McKenna Anne Brinkman
Individual provider Active NPI Physician Assistant · Meridian, ID
NPI 1760164917 · NPPES record last updated Jan 29, 2026
Key facts
- NPI
- 1760164917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 3280 E Lanark St
Meridian, ID 83642-5983 - Phone
- (208) 895-8670
- NPI assigned
- Aug 7, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alliance Medical Group LLC
Practice addresses (Care Compare)
3280 E Lanark Dr
Meridian, ID 83642-5982
Phone (208) 895-8670
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260213000174 | ID | Practitioner - Physician Assistant | 8729568407 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Medical Group, LLC | Family Medicine | Current |
Accepting new patients |
Locations
4971 W Overland Rd
Boise, ID 83705
Phone (208) 472-5050
1907 S Broadway Ave
Ste 101
Boise, ID 83706
Phone (208) 345-1222
8971 W Overland Rd
Boise, ID 83709
Phone (208) 378-4288
10482 W Carlton Bay Dr
Garden City, ID 83714
Phone (208) 454-9690
3280 E Lanark Dr
Meridian, ID 83642
Phone (208) 377-4400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | ID | Yes |
Addresses
Primary practice location
3280 E Lanark St
Meridian, ID 83642-5983
Mailing address
PO Box 191050
Boise, ID 83719-1050
Phone (208) 955-6500
Other providers in Meridian, ID
- Lisa M Bright
- Brighthaven Supported Living LLC
- Pamela Kay Brill
- Wesley B Brimhall
- Michael Brinker
- Brinton Anesthesia Group PLLC
- Clark Brinton
- Carly Broadhead
- Megan Lee Brock
- Lisa M Brokaw
All providers in Meridian, ID · Physician Assistant in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.