Krystan Kimble
NPI 1346868163 · Physician Assistant · Boise, ID
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Krystan Kimble is a Physician Assistant provider in Boise, ID (NPI 1346868163).
Provider details
- NPI number
- 1346868163
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 8461874 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
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
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 520 S Eagle RdMeridian, ID 83642-6351Phone: (208) 381-5500
Registry dates
- Enumerated
- 2020-07-08
- Last updated
- 2026-01-02
- Certified
- 2026-01-02
Frequently asked questions
- What is Krystan Kimble's NPI number?
- Krystan Kimble's National Provider Identifier (NPI) is 1346868163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Krystan Kimble's specialty?
- Krystan Kimble is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Krystan Kimble located?
- Krystan Kimble's practice location on file with NPPES is 190 E Bannock St, Boise, ID 83712-6241.
- What is Krystan Kimble's phone number?
- The practice phone number listed in the NPPES registry for Krystan Kimble is (208) 381-5500.
- Does Krystan Kimble accept Medicare?
- Krystan Kimble is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Krystan Kimble's NPI active?
- Yes — Krystan Kimble's NPI (1346868163) is active in the NPPES registry as of the last update on 2026-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.