NPPES file of Aug 9, 2026

Mary Welborn, PA

Physician Assistant · Boise, ID

Mary Welborn, PA is a physician assistant with a practice address in Boise, Idaho, and NPI 1699457754, issued on Aug 7, 2023. Check the license 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
1699457754
Name
Mary Welborn
Credential
PA
Primary taxonomy
Physician Assistant 363A00000X
Practice location
190 E Bannock St FL 10, Boise, ID 83712
Phone
(208) 381-5500
Enumerated
Aug 7, 2023
Record last updated
Nov 4, 2025
Fax
(208) 381-2555
Medicare enrollment
Enrolled (PECOS I20251118001861); 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.
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8 nearest physician assistant records → All 1,250 in Idaho → Look up another NPI →

Also registered at 190 E Bannock St FL 10

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

  1. Angela ApreotesiPhysician Assistant1184352213
  2. Donald Blaskiewicz, M.D.Neurological Surgery Physician1215176839
  3. Celeste Christesen, PA-CPhysician Assistant1679206312
  4. Joshua Fisher, MPAS, PA-CSurgical Physician Assistant1619614385
  5. Thomas Hall, AGACNPNurse Practitioner1538784558
  6. Cody JohnsonPhysician Assistant1184392011

Verify Mary Welborn in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Idaho board licenses this professionCheck 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. 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).

Mary Welborn among 1,250 physician assistant records in Idaho

Mary Welborn, 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
  • Graduated2025 · 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. Dustin Bowman, PA-CBoise, ID 837121386680239
  2. Derek Derkacs, PA-CBoise, ID 837121720157720
  3. Amber Gorham, PA-C, MPASBoise, ID 837121881718880
  4. Michelle Hurty, P.A.Boise, ID 837121588616122
  5. Michael Lynn, PACBoise, ID 837121669774469
  6. Elizabeth McDowell, PACBoise, ID 837121770640062
  7. Shannon Morrill, PA-CBoise, ID 837121225236383
  8. Robert Porter, PA-CBoise, ID 837121861565988

Common questions

What is Mary Welborn, PA's NPI number?

Mary Welborn, PA's National Provider Identifier (NPI) is 1699457754, issued on Aug 7, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Mary Welborn, PA located?

The NPPES record lists a practice address at 190 E Bannock St FL 10, Boise, ID, 83712. Phone: (208) 381-5500. Providers update this record themselves, so call before visiting.

How can I verify Mary Welborn, PA'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.

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.