NPPES file of Aug 9, 2026

Kordell Alan Koepnick, PA

Physician Assistant · Boise, ID

Kordell Alan Koepnick, PA is a physician assistant with a practice address in Boise, Idaho, and NPI 1770289621, issued on Feb 2, 2023. Check the license (Idaho PA-2450, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1770289621
Name
Kordell Alan Koepnick
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
License numbers
PA-2450 ID
PA219548 OR
PA6140460 WA
PA61460460 WA
Self-reported in NPPES; status is on the state search
Practice location
500 S 8TH St, Boise, ID 83702
Phone
(855) 255-1750
Enumerated
Feb 2, 2023
Record last updated
May 5, 2026
Fax
(855) 255-0905
Medicaid IDs
2261987 WA
1770289621 ID
500841624 OR
Medicare enrollment
Enrolled (PECOS I20240923001331); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 500 S 8TH St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Natale Biondo, PAPhysician Assistant1043323876
  2. Aprilyn Carl, PA-CPhysician Assistant1588090948

Verify Kordell Alan Koepnick in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Idaho board licenses this profession
    Search for license PA-2450
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Idaho license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. United Wound Healing PSLake Oswego, OR

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kordell Alan Koepnick among 1,250 physician assistant records in Idaho

Kordell Alan Koepnick, PA 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 2023, is newer than 88% of them.

  • NPI issued2023 · 88% of these records are older, 5% newer
  • In a Medicare fileYes · 87% of these records are
  • In the CMS Doctors and Clinicians fileYes · 77% of these records are
  • Graduated2022 · median 2017 among the 961 with a school on file
  • Record last updated2026 · 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).

362 physician assistant records list a practice address in Boise

They are 362 of the 9,467 NPPES records with a practice address in Boise, and 1,250 physician assistant records in Idaho.

The 8 physician assistant records with the nearest ZIP codes

  1. Nicole Amideo, PA-CBoise, ID 837021700813714
  2. Kathleen Duffy, PA-CBoise, ID 837021154301141
  3. Freddie Friel, PABoise, ID 837021730131178
  4. Kevin Hudson, PA-CBoise, ID 837021922088905
  5. Benjamin Kerns, PABoise, ID 837021659388783
  6. Darrell King, PABoise, ID 837021770573644
  7. James Lang, PA-CBoise, ID 837021215948237
  8. James McColly, M.P.A.S., PA-CBoise, ID 837021851326045

Common questions

What is Kordell Alan Koepnick, PA's NPI number?

Kordell Alan Koepnick, PA's National Provider Identifier (NPI) is 1770289621, issued on Feb 2, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Kordell Alan Koepnick, PA located?

The NPPES record lists a practice address at 500 S 8TH St, Boise, ID, 83702. Phone: (855) 255-1750. Providers update this record themselves, so call before visiting.

How can I verify Kordell Alan Koepnick, PA's license?

NPPES lists Idaho license number PA-2450, as entered by the provider. 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.