KATHLEEN ANNEKE PA-C
NPI 1083837942
Physician Assistant - Surgical in Boise, ID

Q: What is Kathleen Anneke's NPI number?

The NPI number for Kathleen Anneke is 1083837942. It was assigned to this individual provider in the NPPES registry on April 10, 2007. The provider is also known as Kathleen Anneke Case Pa-C.

Q: What is Kathleen Anneke's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Anneke was last updated on February 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment

1072 N LIBERTY ST STE 100, BOISE, ID 83704(208) 302-1200(208) 302-1255 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 1, 2023, Nov 17, 2022, Jun 30, 2021 and 1 more (4 updates tracked since 2020).

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About Kathleen Anneke Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN ANNEKE PA-C (NPI 1083837942) is an individual surgical provider in Boise, Idaho, licensed in Idaho (PA-378) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083837942

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameKATHLEEN ANNEKECredential: PA-C

Location Address1072 N LIBERTY ST STE 100Boise, ID 83704-8708

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 302-9342 · Fax (208) 367-5180

Phone(208) 302-1200

Fax(208) 302-1255

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateApril 10, 2007

Last NPPES UpdateFebruary 27, 20244 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2024

✔ NPI 1083837942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in ID · PA-378

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA-378 (ID)

1072 N LIBERTY ST STE 100, Boise, ID 83704

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Other Names 1

Former Name (1)Kathleen Anneke Case Pa-c

Secondary Practice Locations 2

Location 1165 Maa StKahului, HI 96732-3603 · Phone (808) 446-7120 · Fax (808) 446-7121

Location 2875 S Vanguard Way Ste 200Meridian, ID 83642-8542 · Phone (208) 463-3000

Other Identifiers 1

Medicaid806217300ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen Anneke Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143379107

PECOS Enrollment IDI20090521000281

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

43 services34 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

20 services17 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services13 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number130007

Location1055 North Curtis RoadBoise, ID 83706 · Ada County

Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130071

Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA WYNN COUNCELL CNM

Midwife