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

MS. Kathleen Leigh Fossen, PA

Individual provider Physician Assistant · NPI 1710282074

MS. Kathleen Leigh Fossen, PA is a Physician Assistant in Boise, Idaho. Qualified in 2010, 16 years ago. Practices with University of Utah Adult Services, a 1,740-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
16
Licensed in
ID
In the registry since
2011
Specialties on file
6
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

1075 N Curtis Rd Ste 300
Boise, ID 83706-1309
Phone: (208) 367-3330
Fax: (208) 367-3331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1165 (ID)
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA-1165 (ID)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA-1165 (ID)
Surgical Physician Assistant Taxonomy 363AS0400X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1710282074
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 18, 2011
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 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 University Of Utah Adult Services — 1740 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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