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

Mrs. Katherine M Lansburg, MSPA-C

Individual provider Medical Physician Assistant · NPI 1932418738

Mrs. Katherine M Lansburg, MSPA-C is a Physician Assistant in Boise, Idaho. Qualified in 2010, 16 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Idaho.

Years since qualifying
16
Licensed in
CA, ID
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

1520 W State St Ste 100
Boise, ID 83702-4084
Phone: (208) 947-7700
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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-2088 (ID)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA21172 (CA)

Record details

NPI number1932418738
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPA-C
Sole proprietorNo
NPI enumeratedSeptember 28, 2010
Last updated in NPPESOctober 13, 2021
Certification dateOctober 13, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Boise