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

Individual provider Medical Physician Assistant · NPI 1184115735

Mrs. Crysta Kimes, PA is a Physician Assistant in Fruitland, Idaho. Qualified in 2017, 9 years ago. Practices with Saint Alphonsus Medical Center- Ontario Inc, a 41-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2018
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

910 NW 16th St Ste 101
Fruitland, ID 83619-2265
Phone: (208) 452-8000
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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

Record details

NPI number1184115735
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 18, 2018
Last updated in NPPESMay 18, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Saint Alphonsus Medical Center- Ontario Inc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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