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

Kalie Ann Schroeder

Individual provider Physician Assistant · NPI 1790544492

Kalie Ann Schroeder is a Physician Assistant in Boise, Idaho. Graduated from Lincoln Memorial University Medical Department in 2023, 3 years ago. Practices with Alliance Medical Group LLC, a 130-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
3
Trained at
Lincoln Memorial University Medical Department
Licensed in
ID
In the registry since
2024
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Practice location Address checks out

6052 W State St
Boise, ID 83703-2739
Phone: (208) 344-7799
Fax: (208) 947-1944
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (ID)

Record details

NPI number1790544492
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 15, 2024
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2023 (3 years in practice)
Group practice Alliance Medical Group Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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