KIMBERLY ROSE MROZEK PA-C
NPI 1164985867
Physician Assistant - Medical in Boise, ID

Q: What is Kimberly Mrozek's NPI number?

The NPI number for Kimberly Mrozek is 1164985867. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Q: What is Kimberly Mrozek's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Mrozek was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2019PECOS EnrolledAccepts Medicare Assignment

190 E BANNOCK ST FL 10, BOISE, ID 83712(208) 381-5500(208) 381-2555 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2019, Apr 9, 2019 (2 updates tracked since 2019).

On this page

About Kimberly Rose Mrozek Pa-c NPPES

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

KIMBERLY ROSE MROZEK PA-C (NPI 1164985867) is an individual medical provider in Boise, Idaho, licensed in Idaho (3271156) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and maintains a secondary practice location in La Crosse.

NPPES Registry Identity

NPI1164985867

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKIMBERLY ROSE MROZEKCredential: PA-C

Location Address190 E BANNOCK ST FL 10Boise, ID 83712-6241

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 381-5500

Fax(208) 381-2555

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 9, 2019

Last NPPES UpdateJuly 21, 20252 updates tracked since enumeration

NPPES CertifiedJuly 21, 2025

✔ NPI 1164985867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363AM0700X

Licenses✔ Licensed in ID · 3271156✔ Licensed in WI · 4845✔ Licensed in KY · TC074

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA2816 (KY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

190 E BANNOCK ST FL 10, Boise, ID 83712

Open in Google Maps ↗

Secondary Practice Location 1

Location 11836 South AveLA Crosse, WI 54601-5429 · Phone (608) 782-7300

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

Kimberly Rose Mrozek 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 ID345570164

PECOS Enrollment IDI20250923003075

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 6

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

93 services92 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

73 services72 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

23 services19 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

16 services14 patients

Fusion of lower spine bone through abdomen with partial removal of disc 22558

This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.

15 services15 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130002

Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County

Emergency services Birthing friendly

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

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

St Luke's Mccall

Critical Access Hospitals · Mccall, ID

OwnershipProprietary

CMS Certification Number131312

Location1000 State StreetMccall, ID 83638 · Valley County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 10

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

DAVID E NIELSON PA-C

Physician Assistant