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

Krystal Ray, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1750011011

Krystal Ray, PA-C is a Physician Assistant in Idaho Falls, Idaho. Qualified in 2022, 4 years ago. Practices with Mark E Hinkson Dermatology PA, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2022
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

3425 Merlin Dr
Idaho Falls, ID 83404-7430
Phone: (208) 528-6653
Show map & directions

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

Additional practice locations (1)

  • 921 S 8th Ave Stop 8253, Pocatello, ID 83209-3863 — (208) 282-4726

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2358 (ID)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1750011011
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 10, 2022
Last updated in NPPESOctober 4, 2022
Certification dateJune 10, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mark E Hinkson Dermatology Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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