Individual provider Active NPI

Rebecca D Kemp, PA-C

  • Physician Assistant
  • Bonners Ferry, ID
National Provider Identifier
1932138757
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA631 Issued in NV
Practice address
6488 Chinook St
Kemppa@Aol.Com
Bonners Ferry, ID 83805-7515
Phone
(208) 267-8710
Fax
(888) 972-7960
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA-2112 ID
Physician Assistant 363A00000X PA631 NV Primary

Addresses

Primary practice location

6488 Chinook St
Kemppa@Aol.Com
Bonners Ferry, ID 83805-7515

Mailing address

6488 Chinook
Kemppa@Aol.Com
Bonners Ferry, ID 83805-7515
Phone (208) 267-8710

Other identifiers 1

IdentifierTypeStateIssuer
CI189VOtherNVMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211216002022 TX Practitioner - Physician Assistant 8527160571 Reassigns benefits to 1 organization
I20220729000936 ID Practitioner - Physician Assistant 8527160571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonners Ferry Family Medicine PLLCGroup PAC ID 3971604166, 7 clinicians

Practice addresses (Care Compare)

6488 Chinook St
Bonners Ferry, ID 83805-7515
Phone (208) 267-8710

Hospital & facility affiliations

  • Eden Home Health Home health agency, Ponderay, ID, CCN 137122
  • Boundary Community Hospital Hospital, Bonners Ferry, ID, CCN 131301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-2112IDMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: rebecca.kemp.p1@direct.nevadahealthcenters.nextgenshare.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 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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1932138757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6488 CHINOOK",
            "address_2": "KEMPPA@AOL.COM",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838057515",
            "telephone_number": "208-267-8710",
            "fax_number": "888-972-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6488 CHINOOK ST",
            "address_2": "KEMPPA@AOL.COM",
            "city": "BONNERS FERRY",
            "state": "ID",
            "postal_code": "838057515",
            "telephone_number": "208-267-8710",
            "fax_number": "888-972-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "REBECCA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "PA-2112",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CI189V",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonners Ferry, ID

Sources for this page

Verify at the official NPI Registry.