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

Mrs. Katie Elizabeth Van Lier, PA-C

Individual provider Physician Assistant · NPI 1801132980

Mrs. Katie Elizabeth Van Lier, PA-C is a Physician Assistant in Boise, Idaho. Qualified in 2012, 14 years ago. Practices with Keystone Center for Geriatrics LLC, a 7-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho and Texas.

Years since qualifying
14
Licensed in
ID, TX
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10255 W Overland Rd
Boise, ID 83709-1430
Phone: (208) 302-5600
Fax: (208) 302-5655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 701 E Parkcenter Blvd, Boise, ID 83706-6528 — (208) 381-6500
  • 7121 Spid Dr, Corpus Christi, TX 78412-4938 — (361) 993-3456

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2034 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA08089 (TX)

Record details

NPI number1801132980
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 18, 2012
Last updated in NPPESMay 15, 2023
Certification dateMay 15, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Keystone Center For Geriatrics Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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