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

Mary Fisk Mebane, PA

Individual provider Physician Assistant · NPI 1154374536

Mary Fisk Mebane, PA is a Physician Assistant in Boise, Idaho. Qualified in 1998, 28 years ago. Accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
28
Licensed in
ID
In the registry since
2006
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

701 E Parkcenter Blvd
Boise, ID 83706-7539
Phone: (208) 381-6400
Fax: (208) 381-6450
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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 RPA250 (ID)

Record details

NPI number1154374536
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESAugust 18, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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