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

ADDISON BROC WOOLDRIDGE PA-C
NPI 1407691835
Physician Assistant in Boise, ID

Active since June 27, 2024PECOS EnrolledAccepts Medicare Assignment
9475 W TILLAMOOK DR # A, BOISE, ID 83709(661) 205-1177 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Addison Broc Wooldridge Pa-c NPPES

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

ADDISON BROC WOOLDRIDGE PA-C (NPI 1407691835) is an individual physician assistant in Boise, Idaho, licensed in Idaho (PA-2810) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Treasure Valley Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1407691835
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameADDISON BROC WOOLDRIDGECredential: PA-C
Location Address9475 W TILLAMOOK DR # ABoise, ID 83709-6173
Mailing Address9475 W Tillamook Dr # ABoise, ID 83709-6173 · (661) 205-1177
Phone(661) 205-1177
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 27, 2024
NPPES CertifiedJune 27, 2024
✔ NPI 1407691835 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-2810
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.
9475 W TILLAMOOK DR # A, Boise, ID 83709
Open in Google Maps ↗

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

Addison Broc Wooldridge 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 ID3678013695
PECOS Enrollment IDI20240905001490
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.

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.
82 services11 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.
18 services18 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Treasure Valley Hospital

Acute Care Hospitals · Boise, ID
OwnershipProprietary
CMS Certification Number130063
Location8800 West Emerald StreetBoise, ID 83704 · Ada County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83709 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.

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 Addison Wooldridge's NPI number?

The NPI number for Addison Wooldridge is 1407691835. It was assigned to this individual provider in the NPPES registry on June 27, 2024.

Where is Addison Wooldridge located?

Addison Wooldridge practices at 9475 W Tillamook Dr # A, Boise, ID 83709. The listed phone number is (661) 205-1177.

What is Addison Wooldridge's specialty?

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

Is Addison Wooldridge enrolled in Medicare?

Yes. Addison Wooldridge 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 Addison Wooldridge accept?

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

According to CMS data, Addison Wooldridge is affiliated with Treasure Valley Hospital.

When was this NPI record last updated?

The NPPES record for Addison Wooldridge was last updated on June 27, 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.