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

Marina J Sampogna, PA

Individual provider Medical Physician Assistant · NPI 1952627986

Marina J Sampogna, PA is a Physician Assistant in Boise, Idaho. Qualified in 2009, 17 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Idaho and Virginia.

Years since qualifying
17
Licensed in
ID, VA
In the registry since
2010
Specialties on file
3
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

10255 W Overland Rd
Boise, ID 83709-1430
Phone: (208) 302-5600
Fax: (208) 302-5655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-1049 (ID)
Medical Physician Assistant Taxonomy 363AM0700X (VA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0110003294 (VA)

Record details

NPI number1952627986
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 15, 2010
Last updated in NPPESNovember 15, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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