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KAYLA SIMONE WILLIAMS DO
NPI 1588314090
Family Medicine in Boise, ID

Active since March 27, 2022PECOS Enrolled
12080 W MCMILLAN RD, BOISE, ID 83713(208) 375-4955(208) 375-5568 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 23, 2026, Aug 7, 2025 (2 updates tracked since 2025).

About Kayla Simone Williams Do NPPES

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

KAYLA SIMONE WILLIAMS DO (NPI 1588314090) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (8081604) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Wellspan Good Samaritan Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1588314090
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAYLA SIMONE WILLIAMSCredential: DO
Location Address12080 W MCMILLAN RDBoise, ID 83713-2462
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 375-4955
Fax(208) 375-5568
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 27, 2022
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1588314090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in ID · 8081604✔ Licensed in WA · OP70010935✔ Licensed in PA · OS025139
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
12080 W MCMILLAN RD, Boise, ID 83713
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1501 S Washington AveScranton, PA 18505-3814 · Phone (570) 343-2383
Location 2920 Church StLebanon, PA 17046-4656 · Phone (717) 272-2700
Location 3923 Auburn Way NAuburn, WA 98002-4117 · Phone (253) 351-3900 · Fax (253) 804-3222

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayla Simone Williams Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789182080
PECOS Enrollment IDI20251008003619
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kayla Williams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Lukes Clinic-Treasure Valley LLC
7.6 mi
Family Medicine
190 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1326336058 (208) 381-2222
Union Community Care
2,047 mi
Federally Qualified Health Center (FQHC)
960 CHURCH ST
Lebanon, PA 17046
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 94 clinicians in this Medicare group
NPI 1831836816 (717) 299-6371

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390066
Location252 South 4th StreetLebanon, PA 17042 · Lebanon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83713 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
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
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 3

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

MOLLY NICHOLS
Physician Assistant
12080 W MCMILLAN RD
BOISE, ID 83713
Ada County (208) 375-4955
DR. DOUGLAS B MCMAHON DO
Family Medicine
12080 W MCMILLAN RD
BOISE, ID 83713
Ada County (208) 375-4955
AUBREY R BARRETT
Physician Assistant
12080 W MCMILLAN RD
BOISE, ID 83713
Ada County (208) 375-4955

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 Kayla Williams's NPI number?

The NPI number for Kayla Williams is 1588314090. It was assigned to this individual provider in the NPPES registry on March 27, 2022.

Where is Kayla Williams located?

Kayla Williams practices at 12080 W Mcmillan Rd, Boise, ID 83713. The listed phone number is (208) 375-4955.

What is Kayla Williams's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kayla Williams enrolled in Medicare?

Yes. Kayla Williams is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kayla Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Williams reassigns Medicare benefits to 2 organizations: St Lukes Clinic-Treasure Valley LLC (Boise, ID) and Union Community Care (Lebanon, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kayla Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kayla Williams accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Moda Health Plan, Inc. and PacificSource Health Plans and 2 other insurers list Kayla Williams 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 Kayla Williams affiliated with any hospitals?

According to CMS data, Kayla Williams is affiliated with Wellspan Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Kayla Williams was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.