MRS. CRYSTA KIMES PA
NPI 1184115735
Physician Assistant - Medical in Fruitland, ID

Active since May 18, 2018PECOS EnrolledAccepts Medicare Assignment
910 NW 16TH ST STE 101, FRUITLAND, ID 83619(208) 452-8000 Get Directions Write a Review

NPPES record last updated: May 18, 2018. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mrs. Crysta Kimes Pa NPPES

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

MRS. CRYSTA KIMES PA (NPI 1184115735) is an individual medical provider in Fruitland, Idaho and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1184115735
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. CRYSTA KIMESCredential: PA
Location Address910 NW 16TH ST STE 101Fruitland, ID 83619-2265
Mailing Address18616 Easter Peak AveNampa, ID 83687-8115 · (208) 850-9300
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 18, 2018
NPI 1184115735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
910 NW 16TH ST STE 101, Fruitland, ID 83619

Other Names 1

Former Name (1)Crysta Kimes Pa

Accepted 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

Mrs. Crysta Kimes Pa 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 ID2264784974
PECOS Enrollment IDI20181008002910
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.

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 Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Ontario

Acute Care Hospitals · Ontario, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380052
Location351 SW 9th StreetOntario, OR 97914 · Malheur County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers37 claims85 services$6.40 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims17 services$1.19 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$192.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Social Worker
910 NW 16TH ST STE 101
FRUITLAND, ID 83619
Physician Assistant (Medical)
910 NW 16TH ST STE 101
FRUITLAND, ID 83619
Nurse Practitioner (Family)
910 NW 16TH ST STE 101
FRUITLAND, ID 83619
Family Medicine (Sports Medicine)
910 NW 16TH ST STE 101
FRUITLAND, ID 83619
Physician Assistant
910 NW 16TH ST STE 101
FRUITLAND, ID 83619
Nurse Practitioner
910 NW 16TH ST STE 101
FRUITLAND, ID 83619

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crysta Kimes's NPI number?

The NPI number for Crysta Kimes is 1184115735. It was assigned to this individual provider in the NPPES registry on May 18, 2018. The provider is also known as Crysta Kimes PA.

Where is Crysta Kimes located?

Crysta Kimes practices at 910 NW 16th St Ste 101, Fruitland, ID 83619. The listed phone number is (208) 452-8000.

What is Crysta Kimes's specialty?

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

Is Crysta Kimes enrolled in Medicare?

Yes. Crysta Kimes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Crysta Kimes accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Crysta Kimes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Crysta Kimes affiliated with any hospitals?

According to CMS data, Crysta Kimes is affiliated with St Luke's Regional Medical Center, Saint Alphonsus Medical Center - Nampa and Saint Alphonsus Medical Center - Ontario.

When was this NPI record last updated?

The NPPES record for Crysta Kimes was last updated on May 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.