ANGELA M KEHLENBRINK PA
NPI 1457966376
Physician Assistant in Boise, ID

Q: What is Angela Kehlenbrink's NPI number?

The NPI number for Angela Kehlenbrink is 1457966376. It was assigned to this individual provider in the NPPES registry on September 9, 2020. The provider is also known as Angela M Shearon PA.

Q: What is Angela Kehlenbrink's specialty?

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

Active since September 09, 2020PECOS Enrolled

190 E BANNOCK ST, BOISE, ID 83712(208) 381-2088(208) 381-2893 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2025, May 15, 2024, Aug 24, 2021 and 3 more (6 updates tracked since 2020).

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About Angela M Kehlenbrink Pa NPPES

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

ANGELA M KEHLENBRINK PA (NPI 1457966376) is an individual physician assistant in Boise, Idaho, licensed in Indiana (10003079A) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1457966376

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameANGELA M KEHLENBRINKCredential: PA

Location Address190 E BANNOCK STBoise, ID 83712-6241

Mailing Address190 E Bannock StBoise, ID 83712-6241 · Fax (317) 777-6644

Phone(208) 381-2088

Fax(208) 381-2893

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 9, 2020

Last NPPES UpdateMay 21, 20256 updates tracked since enumeration

NPPES CertifiedMay 21, 2025

✔ NPI 1457966376 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 IN · 10003079A✔ Licensed in ID · 3771758

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.

190 E BANNOCK ST, Boise, ID 83712

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Other Names 1

Former Name (1)Angela M Shearon Pa

Secondary Practice Location 1

Location 1705 Riley Hospital DrIndianapolis, IN 46202-5109 · Phone (317) 274-4779 · Fax (317) 948-9806

Other Identifiers 1

Medicaid300046601IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Angela M Kehlenbrink Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709290901

PECOS Enrollment IDI20250708000212

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 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 20

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

NORA M SUAREZ NP

Nurse Practitioner (Neonatal, Critical Care)