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

Adriana Elizabeth Pons, PA-C, NP-C

Individual provider Physician Assistant · NPI 1073891016

Adriana Elizabeth Pons, PA-C, NP-C is a Physician Assistant in Boise, Idaho. Qualified in 2011, 15 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in California and Idaho.

Years since qualifying
15
Licensed in
CA, 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.
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

190 E Bannock St Fl 9
Boise, ID 83712-6241
Phone: (208) 381-3971
Fax: (208) 381-2566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1441 Florida Ave, Modesto, CA 95350-4404 — (209) 577-3388

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9471096 (ID)
Nurse Practitioner Taxonomy 363L00000X · Licence 21665 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 21713 (CA)

Record details

NPI number1073891016
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , NP-C
Sole proprietorNo
NPI enumeratedJuly 25, 2011
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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