Katie Maddock
NPI 1275261059 · Physician Assistant · Idaho Falls, ID
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Katie Maddock is a Physician Assistant provider in Idaho Falls, ID (NPI 1275261059).
Provider details
- NPI number
- 1275261059
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-08-10
- Last updated
- 2024-11-23
- Certified
- 2024-11-23
Frequently asked questions
- What is Katie Maddock's NPI number?
- Katie Maddock's National Provider Identifier (NPI) is 1275261059, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katie Maddock's specialty?
- Katie Maddock is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Katie Maddock located?
- Katie Maddock's practice location on file with NPPES is 1550 Elk Creek Dr, Idaho Falls, ID 83404-8322.
- What is Katie Maddock's phone number?
- The practice phone number listed in the NPPES registry for Katie Maddock is (208) 529-5942.
- Does Katie Maddock accept Medicare?
- Katie Maddock is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Katie Maddock's NPI active?
- Yes — Katie Maddock's NPI (1275261059) is active in the NPPES registry as of the last update on 2024-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.