KIM WILSON PA-C NPI 1073982245

NPI Information

  • NPI: 1073982245
  • Provider Name: KIM WILSON, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1055 N CURTIS RD
    BOISE, ID
    ZIP 83706
  • Phone: (208) 367-8855

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NPI Details

Kim Wilson, PA-C is a surgical physician assistant in Boise, ID with 10 years of experience. Kim Wilson, PA-C NPI is 1073982245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1055 N CURTIS RD
BOISE, ID
ZIP 83706-309
Phone: (208) 367-8855
Fax: (208) 367-2989

The NPI 1073982245 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Fluoroscopic guidance for insertion or removal of central vein access device (HCPCS:77001)
  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older (HCPCS:36573)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Drainage of fluid from abdominal cavity using imaging guidance (HCPCS:49083)
  • Injection of chemical agent into multiple incompetent veins of leg (HCPCS:36471)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Aspiration of fluid from chest cavity using imaging guidance (HCPCS:32555)
  • Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance (HCPCS:62328)
  • Biopsy and aspiration of bone marrow sample for diagnosis (HCPCS:38222)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 9/17/2015 and was last updated on 11/25/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalNo
2363AS0400XPhysician AssistantSurgicalPA1456IDAHOYes
3390200000XStudent in an Organized Health Care Education/Training ProgramNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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