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

SHELBY KAITLYN GIBBONS PA-C
NPI 1265009781
Physician Assistant - Surgical in Boise, ID

Active since June 04, 2021PECOS EnrolledAccepts Medicare Assignment
2619 W FAIRVIEW AVE STE 3100, BOISE, ID 83702(208) 706-2663(208) 486-4300 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2024, Nov 18, 2022, Oct 18, 2022 and 1 more (4 updates tracked since 2021).

About Shelby Kaitlyn Gibbons Pa-c NPPES

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

SHELBY KAITLYN GIBBONS PA-C (NPI 1265009781) is an individual surgical provider in Boise, Idaho, licensed in Idaho (PA-2723) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1265009781
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSHELBY KAITLYN GIBBONSCredential: PA-C
Location Address2619 W FAIRVIEW AVE STE 3100Boise, ID 83702-6722
Mailing Address190 E Bannock StBoise, ID 83712-6241 · Fax (425) 656-5047
Phone(208) 706-2663
Fax(208) 486-4300
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 4, 2021
Last NPPES UpdateMay 8, 20244 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1265009781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in ID · PA-2723✔ Licensed in WA · PA61349330
2619 W FAIRVIEW AVE STE 3100, Boise, ID 83702
Open in Google Maps ↗

Secondary Practice Locations 7

Location 1150 Andover Park WTukwila, WA 98188-2801 · Phone (425) 979-2663 · Fax (425) 524-4447
Location 24011 Talbot Rd S Ste 300Renton, WA 98055-5791 · Phone (425) 656-5060 · Fax (425) 656-5047
Location 31620 Lake Tapps Pkwy SE Ste 115Auburn, WA 98092-8376 · Phone (253) 246-2860 · Fax (253) 246-2861
Location 42619 W Fairview Ave, Suite 3100Boise, ID 83702
Location 52619 W Fairview Ave Ste 3100Boise, ID 83702-6722 · Phone (208) 706-2663 · Fax (208) 486-4300
Location 624060 SE Kent Kangley Rd Ste D-100Maple Valley, WA 98038-6851 · Phone (425) 358-7708 · Fax (425) 656-5047
Location 727005 168th Pl SE Ste 201Covington, WA 98042-4902 · Phone (253) 630-3660 · Fax (253) 631-1591

Accepted Insurance

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

Shelby Kaitlyn Gibbons 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 ID4082083613
PECOS Enrollment IDI20240513001585
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 7

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 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.
61 services48 patients
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.
46 services45 patients
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.
42 services36 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
36 services25 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.
19 services13 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

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

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 Shelby Gibbons's NPI number?

The NPI number for Shelby Gibbons is 1265009781. It was assigned to this individual provider in the NPPES registry on June 4, 2021.

Where is Shelby Gibbons located?

Shelby Gibbons practices at 2619 W Fairview Ave Ste 3100, Boise, ID 83702. The listed phone number is (208) 706-2663.

What is Shelby Gibbons's specialty?

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

Is Shelby Gibbons enrolled in Medicare?

Yes. Shelby Gibbons 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 Shelby Gibbons accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Shelby Gibbons 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 Shelby Gibbons affiliated with any hospitals?

According to CMS data, Shelby Gibbons is affiliated with St Luke's Regional Medical Center and St Luke's Nampa Medical Center.

When was this NPI record last updated?

The NPPES record for Shelby Gibbons was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.