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

Angela Ann Coyne, PA

Individual provider Surgical Physician Assistant · NPI 1538276928

Angela Ann Coyne, PA is a Physician Assistant in Eagle, Idaho. Qualified in 2004, 22 years ago. Practices with Keller Skin and Cancer Care PC, a 4-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
22
Licensed in
ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1605 E Riverside Dr
Eagle, ID 83616-6237
Phone: (208) 939-6227
Fax: (208) 939-6442
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-512 (ID)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA-512 (ID)

Record details

NPI number1538276928
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 23, 2006
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Keller Skin And Cancer Care Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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