Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kyle Hollenback

Individual provider Medical Physician Assistant · NPI 1932574381

Kyle Hollenback is a Physician Assistant in Mountain Home, Idaho. Qualified in 2015, 11 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
11
Licensed in
ID
In the registry since
2015
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Practice location Address checks out

2280 American Legion Blvd
Mountain Home, ID 83647-3142
Phone: (208) 587-3988
Fax: (208) 587-3324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 486 W 1st Ave, Glenns Ferry, ID 83623-2701 — (208) 366-7416

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1330 (ID)

Record details

NPI number1932574381
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 10, 2015
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients146
Services billed 295 a service is one billed item, such as a visit, a test or a procedure
Average patient age73

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Intermountain Health Logan Regional Hospital Hospital · Logan, UT

Colleagues at Ihc Health Services Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3947 clinicians in the practice; 12 are shown here.

Other providers in Mountain Home