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

Nikola Ann Cafarelli, PA

Individual provider Physician Assistant · NPI 1194488742

Nikola Ann Cafarelli, PA is a Physician Assistant in Boise, Idaho. Qualified in 2021, 5 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
5
Licensed in
ID
In the registry since
2021
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

6165 W Emerald St
Boise, ID 83704-8613
Phone: (208) 302-3900
Fax: (208) 302-3955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 865 N 30th St, Boise, ID 83702-2108 — (208) 899-9172
  • 901 N Curtis Rd Ste 501, Boise, ID 83706-1343 — (208) 302-3900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2107 (ID)

Record details

NPI number1194488742
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 20, 2021
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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