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

Lori Katherine Ebinger, PA-C

Individual provider Physician Assistant · NPI 1629446661

Lori Katherine Ebinger, PA-C is a Physician Assistant in Eagle, Idaho. Qualified in 2015, 11 years ago. Practices with Eagle Dermatology PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
11
Licensed in
ID
In the registry since
2015
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

74 N Fisher Park Way
Eagle, ID 83616
Phone: (208) 391-7210
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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-1278 (ID)

Record details

NPI number1629446661
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 8, 2015
Last updated in NPPESNovember 15, 2023
Certification dateNovember 13, 2023

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 Eagle Dermatology Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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