MICHAELA S MCMAHON
NPI 1508640855
Physician Assistant in Boise, ID

Q: What is Michaela Mcmahon's NPI number?

The NPI number for Michaela Mcmahon is 1508640855. It was assigned to this individual provider in the NPPES registry on August 18, 2023.

Q: What is Michaela Mcmahon'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 Michaela Mcmahon was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 August 18, 2023PECOS EnrolledAccepts Medicare Assignment

6051 W EMERALD ST, BOISE, ID 83704(208) 302-5150(208) 302-5155 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2025, Sep 17, 2025, Aug 18, 2023 (3 updates tracked since 2023).

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About Michaela S Mcmahon NPPES

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

MICHAELA S MCMAHON (NPI 1508640855) is an individual physician assistant in Boise, Idaho and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains a secondary practice location in Boise.

NPPES Registry Identity

NPI1508640855

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMICHAELA S MCMAHON

Location Address6051 W EMERALD STBoise, ID 83704-8969

Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-5180

Phone(208) 302-5150

Fax(208) 302-5155

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 18, 2023

Last NPPES UpdateNovember 10, 20253 updates tracked since enumeration

NPPES CertifiedNovember 10, 2025

✔ NPI 1508640855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

6051 W EMERALD ST, Boise, ID 83704

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Secondary Practice Location 1

Location 11005 N 9th St Apt 11Boise, ID 83702-4263 · Phone (208) 859-3390

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

Michaela S Mcmahon 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 ID7416442793

PECOS Enrollment IDI20251223004762

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.

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 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.

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.

BETHANY KENDALL MAZE FNP

Nurse Practitioner (Family)