Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Addie Barnes, PA-C

Individual provider Medical Physician Assistant · NPI 1447534821

Addie Barnes, PA-C is a Physician Assistant in Boise, Idaho. Qualified in 2011, 15 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group and accepts Medicare assignment. Licensed in Arizona and Idaho.

Years since qualifying
15
Licensed in
AZ, ID
In the registry since
2011
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

900 N Liberty Ste 101
Boise, ID 83704
Phone: (208) 302-2200
Fax: (208) 302-2255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA-1418 (ID)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 4916 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 4916 (AZ)

Record details

NPI number1447534821
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 4, 2011
Last updated in NPPESNovember 16, 2018
Mailing address3340 E Goldstone Way, Meridian, ID 83642

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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