NPPES file of Aug 9, 2026

Mackenzie Marie Gomez, PA-C

Physician Assistant · Boise, ID

Mackenzie Marie Gomez, PA-C is a physician assistant with a practice address in Boise, Idaho, and NPI 1649059197, issued on Sep 25, 2023. Check the license (Idaho 4871647, 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
1649059197
Name
Mackenzie Marie Gomez
Credential
PA-C
Primary taxonomy
Physician Assistant 363A00000X
License numbers
4871647 ID
1200715 FL
Self-reported in NPPES; status is on the state search
Practice location
417 S 6TH St, Boise, ID 83702
Phone
(208) 577-4460
Enumerated
Sep 25, 2023
Record last updated
Mar 10, 2025
Fax
(208) 577-4469
Medicare enrollment
Enrolled (PECOS I20250318003257); accepts Medicare assignment
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.
Download card Updates feed

8 nearest physician assistant records → All 1,250 in Idaho → Look up another NPI →

Also registered at 417 S 6TH St

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

  1. Margarita Alcaraz, LMSWSocial Worker1063259695
  2. Trina Allen, LCSWClinical Social Worker1386145050
  3. Dusti Anderson, BSN RNGeneral Practice Registered Nurse1174389035
  4. Renee Bennett, RNRegistered Nurse1376364802
  5. Avery Bolton, LMSWSocial Worker1124773601
  6. Michelle Borgquist, LMSWSocial Worker1801366117

Verify Mackenzie Marie Gomez 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 4871647    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.

Is this page about you? You can ask us to correct, restrict or remove it: how.

Bills Medicare through one group practice

  1. St Lukes Clinic-Treasure Valley LLCBoise, ID

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

Mackenzie Marie Gomez among 1,250 physician assistant records in Idaho

Mackenzie Marie Gomez, PA-C 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
  • Graduated2023 · median 2017 among the 961 with a school on file
  • Record last updated2025 · 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.

All 1,250 in Idaho → Every provider in Boise → Physician Assistant nationwide →

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 Mackenzie Marie Gomez, PA-C's NPI number?

Mackenzie Marie Gomez, PA-C's National Provider Identifier (NPI) is 1649059197, issued on Sep 25, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Mackenzie Marie Gomez, PA-C located?

The NPPES record lists a practice address at 417 S 6TH St, Boise, ID, 83702. Phone: (208) 577-4460. Providers update this record themselves, so call before visiting.

How can I verify Mackenzie Marie Gomez, PA-C's license?

NPPES lists Idaho license number 4871647, 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.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

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.