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

Rebecca Michelle Penner, PA-C

Individual provider Physician Assistant · NPI 1932765013

Rebecca Michelle Penner, PA-C is a Physician Assistant in Boise, Idaho. Qualified in 2018, 8 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
8
Licensed in
ID
In the registry since
2019
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

100 E Idaho St Ste 200
Boise, ID 83712-6270
Phone: (208) 381-2711
Fax: (208) 381-4847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (503) 494-8534

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1665 (ID)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1932765013
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 14, 2019
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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