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

Kelly Krause-Mings, PA-S

Individual provider Physician Assistant · NPI 1639642051

Kelly Krause-Mings, PA-S is a Physician Assistant in Boise, Idaho. Qualified in 2020, 6 years ago. Practices with Full Circle Health Inc, a 109-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
6
Licensed in
ID
In the registry since
2019
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6565 W Emerald St
Boise, ID 83704-8737
Phone: (208) 514-2510
Fax: (208) 375-2217
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 777 N Raymond St, Boise, ID 83704-9251 — (208) 514-2500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2022 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PAT-1634 (ID)

Record details

NPI number1639642051
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-S
Sole proprietorNo
NPI enumeratedJanuary 8, 2019
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026

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 Full Circle Health Inc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Boise