Individual provider Active NPI

Kinsley Bonfilio, PA-C

  • Physician Assistant
  • Boise, ID
National Provider Identifier
1801567110
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-2094 Issued in ID
Practice address
1000 N Curtis Rd Ste 303
Boise, ID 83706-1347
Phone
(208) 377-4000
NPI assigned
Sep 26, 2021
Last updated
May 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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 PA-2094 ID Primary

Addresses

Primary practice location

1000 N Curtis Rd Ste 303
Boise, ID 83706-1347

Mailing address

1000 N Curtis Rd Ste 303
Boise, ID 83706-1347
Phone (208) 377-4000

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
I20211111001712 ID Practitioner - Physician Assistant 7113316258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Group PCGroup PAC ID 5799747317, 7 clinicians

Practice addresses (Care Compare)

1000 N Curtis Rd
Suite 303
Boise, ID 83706-1347
Phone (208) 377-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-2094IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Myfamilydoc Past Accepting new patients
Allergy Associates PA Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1632614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1801567110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N CURTIS RD STE 303",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061347",
            "telephone_number": "208-377-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N CURTIS RD STE 303",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061347",
            "telephone_number": "208-377-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONFILIO",
        "first_name": "KINSLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-26",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.