Individual provider Active NPI

Kaleb Winebarger, PA

  • Physician Assistant
  • Meridian, ID
National Provider Identifier
1942981477
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4842 N Cortona Way
Meridian, ID 83646-1913
Phone
(208) 579-2024
Fax
(208) 579-2029
NPI assigned
Jul 27, 2023
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 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 NU Primary

Addresses

Primary practice location

4842 N Cortona Way
Meridian, ID 83646-1913

Mailing address

4842 N Cortona Way
Meridian, ID 83646-1913
Phone (208) 579-2024

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
I20250918004328 ID Practitioner - Physician Assistant 7315441698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Icahn School of Medicine at Mount Sinai, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Direct Orthopedic Care LLCGroup PAC ID 2163648155, 32 clinicians

Practice addresses (Care Compare)

16818 N Marketplace Blvd
Nampa, ID 83687-5140
Phone (208) 321-4000

3015 E Magic View Dr
Meridian, ID 83642-3743
Phone (208) 321-4000

4842 N Cortona Way
Suite 110
Meridian, ID 83646-3171
Phone (208) 321-4000

7979 W Rifleman St
Suite 110
Boise, ID 83704-9066
Phone (208) 321-4000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Orthopedic Care LLC Orthopaedic Surgery CurrentSince Oct 1, 2025 Accepting new patients

Locations

7979 W Rifleman St
Boise, ID 83704
Phone (208) 321-4000

7979 W Rifleman St
Ste 110
Boise, ID 83704
Phone (208) 321-4000

3015 E Magic View Dr
Ste 130
Meridian, ID 83642
Phone (208) 482-5567

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1942981477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4842 N CORTONA WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461913",
            "telephone_number": "208-579-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4842 N CORTONA WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836461913",
            "telephone_number": "208-579-2024",
            "fax_number": "208-579-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINEBARGER",
        "first_name": "KALEB",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-27",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.