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

Kristina Coffey, PA

Individual provider Physician Assistant · NPI 1447487186

Kristina Coffey, PA is a Physician Assistant in Eagle, Idaho. Graduated from Wake Forest University School of Medicine in 2009, 17 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Idaho and North Carolina.

Years since qualifying
17
Trained at
Wake Forest University School of Medicine
Licensed in
ID, NC
In the registry since
2009
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.

See every abbreviation used in this directory →

Practice location Address checks out

3101 E State St
Eagle, ID 83616-6232
Phone: (208) 473-3100
Show map & directions

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

Additional practice locations (5)

  • 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 — (704) 512-6240
  • 3025 Springbank Ln, Charlotte, NC 28226-3362 — (704) 446-2620
  • 9332 S Tryon St, Charlotte, NC 28273-3108 — (704) 587-6700
  • 705 Griffith St, Davidson, NC 28036-9304 — (704) 801-7900
  • 1802 E Main St, Lincolnton, NC 28092-3915 — (980) 212-2610

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2327 (ID)
Physician Assistant Taxonomy 363A00000X · Licence 0010-01856 (NC)

Record details

NPI number1447487186
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 21, 2009
Last updated in NPPESMay 12, 2023
Certification dateMay 12, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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