Katie Diane Maddock
Physician Assistant · Idaho Falls, ID
Katie Diane Maddock is a physician assistant with a practice address in Idaho Falls, Idaho, and NPI 1275261059, issued on Aug 10, 2022. Check the license with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Katie Diane Maddock
- Primary taxonomy
- Physician Assistant 363A00000X
- Practice location
- 1550 Elk Creek Dr, Idaho Falls, ID 83404
- Phone
- (208) 529-5942
- Enumerated
- Aug 10, 2022
- Record last updated
- Nov 23, 2024
- Medicaid ID
- 0002896036 ID
- Medicare enrollment
- Enrolled (PECOS I20250404000591); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 1,250 in Idaho → Look up another NPI →
Also registered at 1550 Elk Creek Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Katie Diane Maddock in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Leavitt Womens Healthcare Corp.pcIdaho Falls, ID
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Katie Diane Maddock among 1,250 physician assistant records in Idaho
Katie Diane Maddock is one of 1,250 physician assistant records with a practice address in Idaho. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 77% of them.
- NPI issued2022 · 77% of these records are older, 12% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 77% of these records are
- Graduated2024 · median 2017 among the 961 with a school on file
- Record last updated2024 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
98 physician assistant records list a practice address in Idaho Falls
They are 98 of the 2,467 NPPES records with a practice address in Idaho Falls, and 1,250 physician assistant records in Idaho.
All 1,250 in Idaho → Every provider in Idaho Falls → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Serena Adams, PA-CIdaho Falls, ID 834041669543450
- Joseph Anderson, PA-CIdaho Falls, ID 834041386699833
- Rebekah Bird, PAIdaho Falls, ID 834041447448964
- Tiffany Coughenour, PAIdaho Falls, ID 834041205959756
- Vanessa French, PA-CIdaho Falls, ID 834041588851984
- Philip Hesse, PAIdaho Falls, ID 834041811975386
- Matthew Merzlock, PA-CIdaho Falls, ID 834041316985229
- Monica Nealis, PA-CIdaho Falls, ID 834041073676805
Common questions
What is Katie Diane Maddock's NPI number?
Katie Diane Maddock's National Provider Identifier (NPI) is 1275261059, issued on Aug 10, 2022. An NPI identifies a provider in billing; it is not a license.
Where is Katie Diane Maddock located?
The NPPES record lists a practice address at 1550 Elk Creek Dr, Idaho Falls, ID, 83404. Phone: (208) 529-5942. Providers update this record themselves, so call before visiting.
How can I verify Katie Diane Maddock's license?
Search the Idaho board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.