KELSEY SANDOVAL PA-C
NPI 1407314552
Physician Assistant in Meridian, ID

Q: What is Kelsey Sandoval's NPI number?

The NPI number for Kelsey Sandoval is 1407314552. It was assigned to this individual provider in the NPPES registry on March 7, 2019.

Q: What is Kelsey Sandoval's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelsey Sandoval was last updated on November 28, 2022. 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.

Active since March 07, 2019PECOS EnrolledAccepts Medicare Assignment

3025 W CHERRY LN STE A, MERIDIAN, ID 83642(208) 302-6450(208) 302-6455 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 28, 2022, Mar 7, 2019 (2 updates tracked since 2019).

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About Kelsey Sandoval Pa-c NPPES

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

KELSEY SANDOVAL PA-C (NPI 1407314552) is an individual physician assistant in Meridian, Idaho, licensed in Idaho (PA-2375) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains a secondary practice location in Victorville.

NPPES Registry Identity

NPI1407314552

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELSEY SANDOVALCredential: PA-C

Location Address3025 W CHERRY LN STE AMeridian, ID 83642-8531

Mailing Address3340 E Goldstone DrMeridian, ID 83642-1026 · (208) 367-5170 · Fax (208) 367-5180

Phone(208) 302-6450

Fax(208) 302-6455

Sole ProprietorYes

Medical School CMSLoma Linda University School Of MedicineGraduated 2018

Enumeration DateMarch 7, 2019

Last NPPES UpdateNovember 28, 20222 updates tracked since enumeration

NPPES CertifiedNovember 28, 2022

✔ NPI 1407314552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in ID · PA-2375✔ Licensed in CA · 56457

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.

3025 W CHERRY LN STE A, Meridian, ID 83642

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Secondary Practice Location 1

Location 116850 Bear Valley RdVictorville, CA 92395-5794 · Phone (760) 241-8000

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Kelsey Sandoval 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 ID4981934445

PECOS Enrollment IDI20221207002910

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 3

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.

220 services186 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

43 services43 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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.

Other Providers at the Same Location NPPES 9

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

TAYLOR WILDING

Family Medicine