1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Physician Assistant
  6. NPI Profile

KELLY JO VINCENT PA-C
NPI 1194190637
Physician Assistant in Boise, ID

Active since December 09, 2015PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
8854 W EMERALD ST, SUITE #102, BOISE, ID 83704(208) 323-4747(208) 323-4848 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 22, 2023, Dec 9, 2015 (2 updates tracked since 2015).

About Kelly Jo Vincent Pa-c NPPES

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

KELLY JO VINCENT PA-C (NPI 1194190637) is an individual physician assistant in Boise, Idaho, licensed in Idaho (PA-1332) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1194190637
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY JO VINCENTCredential: PA-C
Location Address8854 W EMERALD ST, SUITE #102Boise, ID 83704-4844
Mailing Address1940 S Bonito Way Ste 190Meridian, ID 83642-5618 · (208) 287-9420
Phone(208) 323-4747
Fax(208) 323-4848
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 9, 2015
Last NPPES UpdateApril 19, 20232 updates tracked since enumeration
NPPES CertifiedApril 19, 2023
✔ NPI 1194190637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA-1332
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8854 W EMERALD ST, Boise, ID 83704
Open in Google Maps ↗

Secondary Practice Location 1

Location 13399 E Louise Dr Ste 200Meridian, ID 83642-5212 · Phone (208) 706-2663

Accepted Insurance

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

Kelly Jo Vincent 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 ID4789987389
PECOS Enrollment IDI20160114000892
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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
240 services20 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.
24 services16 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
16 services12 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
15 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

Other Providers at the Same Location NPPES 13

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

DR. JEFFREY GLENN HESSING M.D.
Orthopaedic Surgery
8854 W EMERALD ST, SUITE 140
BOISE, ID 83704
Ada County (208) 327-4790
TROY B WATKINS JR. M.D.
Orthopaedic Surgery
8854 W EMERALD ST, # 170
BOISE, ID 83704
Ada County (208) 343-2555
DR. TIMOTHY EUGENE DOERR M.D.
Orthopaedic Surgery
8854 W EMERALD ST, SUITE 140
BOISE, ID 83704
Ada County (208) 321-4790
A GEORGE MUNAYIRJI MD
Surgery
8854 W EMERALD ST
BOISE, ID 83704
Ada County (208) 658-1774
PHYSICAL THERAPY CENTERS OF IDAHO
Clinic/Center (Physical Therapy)
8854 W EMERALD ST, SUITE 280
BOISE, ID 83704
Ada County (208) 377-5005
IDAHO CRH SURGEONS PC
Surgery
8854 W EMERALD ST, SUITE 140
BOISE, ID 83704
Ada County (208) 658-1774
MRS. KATHRYN A COLSON PA-C
Physician Assistant (Medical)
8854 W EMERALD ST, STE 102
BOISE, ID 83704
Ada County (208) 323-4747
THOMAS MICHAEL CHOPP MD
Orthopaedic Surgery
8854 W EMERALD ST, STE 102
BOISE, ID 83704
Ada County (208) 323-4747

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 Kelly Vincent's NPI number?

The NPI number for Kelly Vincent is 1194190637. It was assigned to this individual provider in the NPPES registry on December 9, 2015.

Where is Kelly Vincent located?

Kelly Vincent practices at 8854 W Emerald St Suite #102, Boise, ID 83704. The listed phone number is (208) 323-4747.

What is Kelly Vincent's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Vincent enrolled in Medicare?

Yes. Kelly Vincent 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 Kelly Vincent accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Kelly Vincent 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 Kelly Vincent affiliated with any hospitals?

According to CMS data, Kelly Vincent is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Vincent was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.