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

Kendell Ann Simm, PA-C

Individual provider Physician Assistant · NPI 1811936545

Kendell Ann Simm, PA-C is a Physician Assistant in Bonners Ferry, Idaho. Graduated from University of North Dakota School of Medicine in 1986, 40 years ago. Practices with Tanana Chiefs Conference, a 149-clinician group and accepts Medicare assignment. Licensed in California and Idaho.

Years since qualifying
40
Trained at
University of North Dakota School of Medicine
Licensed in
CA, ID
In the registry since
2006
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

6615 Comanche St
Bonners Ferry, ID 83805
Phone: (208) 267-1718
Fax: (208) 267-9197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1467 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA12083 (CA)

Record details

NPI number1811936545
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 1986 (40 years in practice)
Group practice Tanana Chiefs Conference — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Bonners Ferry