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KEILY MAYA TOMCHAK PA-C
NPI 1689302911
Physician Assistant in Idaho Falls, ID

Active since August 14, 2022PECOS Enrolled
1550 ELK CREEK DR, IDAHO FALLS, ID 83404(208) 524-6308 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2026, Aug 14, 2022 (2 updates tracked since 2022).

About Keily Maya Tomchak Pa-c NPPES

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

KEILY MAYA TOMCHAK PA-C (NPI 1689302911) is an individual physician assistant in Idaho Falls, Idaho, licensed in Idaho (5071491) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Idaho Falls, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1689302911
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKEILY MAYA TOMCHAKCredential: PA-C
Location Address1550 ELK CREEK DRIdaho Falls, ID 83404-8322
Mailing Address1550 Elk Creek DrIdaho Falls, ID 83404-8322 · (208) 529-5942
Phone(208) 524-6308
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 14, 2022
Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1689302911 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 · 5071491
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.
1550 ELK CREEK DR, Idaho Falls, ID 83404
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Secondary Practice Location 1

Location 13339 Valencia DrIdaho Falls, ID 83404-7556 · Phone (208) 524-6308

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keily Maya Tomchak Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335626191
PECOS Enrollment IDI20260122003214
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 83404 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 12

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

NATALIE WINEGAR
Nurse Practitioner (Women's Health)
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Bonneville County (208) 529-5942
MRS. MONICA J NEALIS PA-C
Physician Assistant
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Bonneville County (208) 529-5942
KATIE DIANE MADDOCK
Physician Assistant
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Bonneville County (208) 529-5942
MIKELL BRYNN GIBBONS
Physician Assistant (Medical)
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Bonneville County (208) 529-5942
KAYLA L ASAY MD
Obstetrics & Gynecology
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Bonneville County (208) 529-5942
BRITTANY ELIZABETH QUINN WHNP
Nurse Practitioner (Women's Health)
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Bonneville County (208) 529-5942
CASSIDY ANN SEEDALL CNM
Midwife
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Bonneville County (208) 529-5942
MARY RACHEL PIRKLE CNM
Advanced Practice Midwife
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Bonneville County (208) 529-5942

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 Keily Tomchak's NPI number?

The NPI number for Keily Tomchak is 1689302911. It was assigned to this individual provider in the NPPES registry on August 14, 2022.

Where is Keily Tomchak located?

Keily Tomchak practices at 1550 Elk Creek Dr, Idaho Falls, ID 83404. The listed phone number is (208) 524-6308.

What is Keily Tomchak's specialty?

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

Is Keily Tomchak enrolled in Medicare?

Yes. Keily Tomchak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keily Tomchak was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.