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

Eric Konkel, PA

Individual provider Physician Assistant · NPI 1184189839

Eric Konkel, PA is a Physician Assistant in Meridian, Idaho. Qualified in 2018, 8 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Idaho.

Years since qualifying
8
Licensed in
CA, ID
In the registry since
2019
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

3399 E Louise Dr
Meridian, ID 83642-5211
Phone: (208) 706-2663
Fax: (208) 489-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10583 W Lake Hazel Rd, Boise, ID 83709 — (208) 302-5950

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1826 (ID)
Physician Assistant Taxonomy 363A00000X · Licence 56475 (CA)

Record details

NPI number1184189839
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 6, 2019
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Meridian