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

Lee Ann Conrad, PA-C

Individual provider Physician Assistant · NPI 1114140910

Lee Ann Conrad, PA-C is a Physician Assistant in Meridian, Idaho. Qualified in 2003, 23 years ago. Practices with Idaho Urologic Institute PA, a 20-clinician group and accepts Medicare assignment. Licensed in Idaho, Oregon and Texas.

Years since qualifying
23
Licensed in
ID, OR, TX
In the registry since
2007
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2855 E Magic View Dr
Meridian, ID 83642-6245
Phone: (208) 639-4900
Fax: (208) 639-4901
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1727 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA01197 (OR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA 03869 (TX)

Record details

NPI number1114140910
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 10, 2007
Last updated in NPPESOctober 20, 2022
Certification dateOctober 17, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Idaho Urologic Institute Pa — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Meridian