KIM WILSON PA-C
NPI 1073982245
Physician Assistant - Surgical in Boise, ID
NPI Status: Active since September 17, 2015
Contact Information
1055 N CURTIS RD
BOISE, ID
ZIP 83706
Phone: (208) 367-8855
Fax: (208) 367-2989
- Individual
- Male
- Years of Experience 11
- Physician Assistant
- Surgical
- Accepts Medicare Approved Payment
- PECOS Enrolled
About KIM WILSON
This page provides the complete NPI Profile along with additional information for Kim Wilson, a provider established in Boise, Idaho with a medical specialization in Physician Assistant, focusing in surgical and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1073982245 assigned on September 2015. The practitioner's primary taxonomy code is 363AS0400X with license number PA1456 (ID). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1073982245
- Provider Name
- KIM WILSON PA-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1055 N CURTIS RD BOISE, ID 83706
- Location Phone
- (208) 367-8855
- Location Fax
- (208) 367-2989
- Mailing Address
- PO BOX 190930 BOISE, ID 83719
- Mailing Phone
- (208) 367-5170
- Mailing Fax
- (208) 367-2989
- Medical School Name
- OTHER
- Graduation Year
- 2016
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-17-2015
- Last Update Date
- 11-25-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA1456
- License State
- ID
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Kim Wilson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Kim Wilson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7012299738
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20170112002100, I20170118001252
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Aspiration of fluid from chest cavity using imaging guidance
Biopsy and aspiration of bone marrow sample for diagnosis
Drainage of fluid from abdominal cavity using imaging guidance
Fluoroscopic guidance for insertion or removal of central vein access device
Injection of chemical agent into multiple incompetent veins of leg
Insertion of central venous tube with port (5 years or older)
Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older
New patient office or other outpatient visit, 30-44 minutes
Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance
Review by radiologist of ct guidance for needle placement
Ultrasonic guidance for blood vessel access
Ultrasonic guidance for needle placement
Varicose vein removal
This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.
This service was performed 18 times for 13 patientsA bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
This service was performed 11 times for 11 patientsThis procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.
This service was performed 23 times for 11 patientsFluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
This service was performed 45 times for 41 patientsThis procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.
This service was performed 21 times for 16 patientsA central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.
This service was performed 27 times for 27 patientsThis procedure involves placing a tube into a vein for medication or fluid delivery. Imaging guidance helps ensure correct placement, while a radiologist reviews the process for safety. It's suitable for patients aged 5 and above.
This service was performed 35 times for 35 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 29 times for 29 patientsA lower back spinal tap, guided by imaging, is a procedure to collect spinal fluid for testing. A needle is carefully inserted into the lower back to draw out fluid. This can help diagnose various conditions. It's performed under local anesthesia to minimize discomfort.
This service was performed 11 times for 11 patientsThis process involves a radiologist examining CT scan images to accurately guide a needle's placement within the body. This technique is often used for biopsies or treatments, ensuring precision and safety.
This service was performed 11 times for 11 patientsUltrasonic guidance for blood vessel access is a medical procedure where sound waves are used to create images of your blood vessels. This helps doctors to accurately locate and access the vessels for treatments or tests, ensuring safety and precision.
This service was performed 40 times for 38 patientsUltrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
This service was performed 21 times for 16 patientsVaricose vein removal is a procedure to eliminate enlarged and twisted veins, commonly found in legs. It's performed when these veins cause discomfort or skin problems. The procedure may involve laser treatment, sclerotherapy (injecting a solution to close the veins), or surgery to remove the veins. It's generally safe and helps to alleviate symptoms.
This service was performed for 49 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kim Wilson is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| SAINT ALPHONSUS REGIONAL MEDICAL CENTER | 1055 NORTH CURTIS ROAD BOISE, ID 83706 | (208) 367-3554 | Acute Care Hospitals | |
| SAINT ALPHONSUS MEDICAL CENTER - NAMPA | 4300 E FLAMINGO AVE NAMPA, ID 83687 | (208) 205-0050 | Acute Care Hospitals | |
| SAINT ALPHONSUS MEDICAL CENTER - ONTARIO | 351 SW 9TH STREET ONTARIO, OR 97914 | (541) 524-7730 | Acute Care Hospitals |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1073982245, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BOISE, ID 83706
BOISE, ID 83706
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073982245, enumerated as an "individual" on September 17, 2015.
The provider is located at 1055 N CURTIS RD BOISE, ID 83706 and the phone number is (208) 367-8855.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
Kim Wilson is affiliated with: SAINT ALPHONSUS REGIONAL MEDICAL CENTER, SAINT ALPHONSUS MEDICAL CENTER - NAMPA and SAINT ALPHONSUS MEDICAL CENTER - ONTARIO.