Individual provider Active NPI

Kathryn Lea Powell, MPAS

  • Physician Assistant
  • Meridian, ID
National Provider Identifier
1851728133
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TLP-011 Issued in ID
Practice address
3277 E Louise Dr
Suite 410
Meridian, ID 83642-9359
Phone
(208) 489-5800
Fax
(208) 489-4065
NPI assigned
Oct 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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 TLP-011 ID Primary

Addresses

Primary practice location

3277 E Louise Dr
Suite 410
Meridian, ID 83642-9359

Mailing address

3277 E Louise Dr
Suite 410
Meridian, ID 83642-9359
Phone (208) 489-5800

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
I20140124000695 ID Practitioner - Physician Assistant 1850529603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

3277 E Louise Dr
Meridian, ID 83642-9360

600 N Robbins Rd
Boise, ID 83702-4565

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

Hospital & facility affiliations

  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
81.29
Promoting interoperability
100
Improvement activities
40
Cost
76.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC Family Medicine CurrentSince Oct 1, 2014 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

600 N Robbins Rd
Boise, ID 83702
Phone (208) 489-4444

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

1520 W State St
Ste 100
Boise, ID 83702
Phone (208) 947-7700

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

3277 E Louise Dr
Ste 410
Meridian, ID 83642
Phone (208) 489-5800

Interoperability endpoints

  • Direct secure messaging: kpowell21949@direct.slhs.org

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 and National Provider Directory roles.

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": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1851728133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 E LOUISE DR",
            "address_2": "SUITE 410",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429359",
            "telephone_number": "208-489-5800",
            "fax_number": "208-489-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 E LOUISE DR",
            "address_2": "SUITE 410",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429359",
            "telephone_number": "208-489-5800",
            "fax_number": "208-489-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "KATHRYN",
        "middle_name": "LEA",
        "credential": "MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "TLP-011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.