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

Katherine Elizabeth Mankus, PA-C

Individual provider Physician Assistant · NPI 1366050353

Katherine Elizabeth Mankus, PA-C is a Physician Assistant in Boise, Idaho. Qualified in 2020, 6 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho and Texas.

Years since qualifying
6
Licensed in
ID, TX
In the registry since
2020
Specialties on file
2
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

287 W Jefferson St
Boise, ID 83702-6045
Phone: (208) 322-1680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 12319 N Mopac Expy Ste 250, Austin, TX 78758-2499 — (512) 964-8346
  • 529 Sorenson Trl, Keller, TX 76248-8324 — (817) 791-2710

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2532 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA13712 (TX)

Record details

NPI number1366050353
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 16, 2020
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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