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

Mrs. Holly Hawkins Wolf, PA-C

Individual provider Physician Assistant · NPI 1124370333

Mrs. Holly Hawkins Wolf, PA-C is a Physician Assistant in Boise, Idaho. Qualified in 2011, 15 years ago. Practices with Ada Dermatology P A, a 5-clinician group. Licensed in Idaho.

Years since qualifying
15
Licensed in
ID
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

13176 W Persimmon Ln Ste 100
Boise, ID 83713-5063
Phone: (208) 377-0820
Fax: (208) 375-8046
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1252 (ID)

Record details

NPI number1124370333
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 11, 2012
Last updated in NPPESMarch 20, 2024
Certification dateSeptember 21, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Ada Dermatology P A — 5 clinicians
Accepts Medicare assignment Not indicated

Other providers in Boise