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REBECCA MICHELLE PENNER PA-C
NPI 1932765013
Physician Assistant in Boise, ID

Active since May 14, 2019PECOS EnrolledAccepts Medicare Assignment
100 E IDAHO ST STE 200, BOISE, ID 83712(208) 381-2711(208) 381-4847 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2023, Oct 24, 2021, Jun 23, 2021 and 2 more (5 updates tracked since 2019).

About Rebecca Michelle Penner Pa-c NPPES

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

REBECCA MICHELLE PENNER PA-C (NPI 1932765013) is an individual physician assistant in Boise, Idaho, licensed in Idaho (PA-1665) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1932765013
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameREBECCA MICHELLE PENNERCredential: PA-C
Location Address100 E IDAHO ST STE 200Boise, ID 83712-6270
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 381-2711
Fax(208) 381-4847
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 14, 2019
Last NPPES UpdateDecember 20, 20235 updates tracked since enumeration
NPPES CertifiedDecember 20, 2023
✔ NPI 1932765013 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-1665
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.
100 E IDAHO ST STE 200, Boise, ID 83712
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Other Names 1

Former Name (1)Rebecca Michelle Smith

Secondary Practice Location 1

Location 13181 SW Sam Jackson Park Rd, Mail code: OC14HOPortland, OR 97239-3011 · Phone (503) 494-8534 · Fax (503) 494-3257

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., 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 and accepts Medicare assignment

Rebecca Michelle Penner 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 ID5294069134
PECOS Enrollment IDI20210507001140
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services11 patients

Hospital Affiliations CMS Care Compare

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

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 10

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

ST LUKES REGIONAL MEDICAL CENTER
Clinic/Center (Medical Specialty)
100 E IDAHO ST STE 200
BOISE, ID 83712
Ada County (208) 381-7340
MRS. KIMBERLY JO SCHMIDT RDN, LD
Dietitian, Registered
100 E IDAHO ST STE 200
BOISE, ID 83712
Ada County (208) 484-7770
MS. ABBIE L BROOKS FNP-C
Nurse Practitioner (Family)
100 E IDAHO ST STE 200
BOISE, ID 83712
Ada County (208) 345-6545
CHRISTOPHER MWANIKI WANJIKU MD
Internal Medicine (Hematology & Oncology)
100 E IDAHO ST STE 200
BOISE, ID 83712
Ada County (208) 381-2711
LAURA MARGARET BOQUETTE R.D., CSR, L.D.
Dietitian, Registered (Nutrition, Pediatric)
100 E IDAHO ST STE 200
BOISE, ID 83712
Ada County (208) 381-7081
RACHEL CLEONA HERNANDEZ RD, LD
Dietitian, Registered
100 E IDAHO ST STE 200
BOISE, ID 83712
Ada County (425) 346-4732
DANIELLE NEBEKER R.D., L.D.
Dietitian, Registered
100 E IDAHO ST STE 200
BOISE, ID 83712
Ada County (208) 381-7329
LAURA ELIZABETH MARX MS
Genetic Counselor, MS
100 E IDAHO ST STE 200
BOISE, ID 83712
Ada County (208) 381-7339

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 Rebecca Penner's NPI number?

The NPI number for Rebecca Penner is 1932765013. It was assigned to this individual provider in the NPPES registry on May 14, 2019. The provider is also known as Rebecca Michelle Smith.

Where is Rebecca Penner located?

Rebecca Penner practices at 100 E Idaho St Ste 200, Boise, ID 83712. The listed phone number is (208) 381-2711.

What is Rebecca Penner's specialty?

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

Is Rebecca Penner enrolled in Medicare?

Yes. Rebecca Penner 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 Rebecca Penner accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Rebecca Penner 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 Rebecca Penner affiliated with any hospitals?

According to CMS data, Rebecca Penner is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Rebecca Penner was last updated on December 20, 2023. 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.