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

Molly C Piccono, PA

Individual provider Surgical Physician Assistant · NPI 1881739274

Molly C Piccono, PA is a Physician Assistant in Boise, Idaho. Qualified in 2006, 20 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
20
Licensed in
ID
In the registry since
2007
Specialties on file
2
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

6140 W Curtisian Ave Ste 100
Boise, ID 83704-0109
Phone: (208) 367-7090
Fax: (208) 367-7092
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA-659 (ID)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA659 (ID)

Record details

NPI number1881739274
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 21, 2007
Last updated in NPPESDecember 5, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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