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

Kurt Wiebold, PA

Individual provider Physician Assistant · NPI 1215690474

Kurt Wiebold, PA is a Physician Assistant in Boise, Idaho. Qualified in 2021, 5 years ago. Practices with Alliance Medical Group LLC, a 130-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6140 W Curtisian Ave Ste 400
Boise, ID 83704-8907
Phone: (208) 327-5600
Fax: (208) 327-5602
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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 PA-2143 (ID)

Record details

NPI number1215690474
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 14, 2021
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Alliance Medical Group Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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