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

Shelby Kaitlyn Gibbons, PA-C

Individual provider Surgical Physician Assistant · NPI 1265009781

Shelby Kaitlyn Gibbons, PA-C is a Physician Assistant in Boise, Idaho. Qualified in 2023, 3 years ago. Practices with Direct Orthopedic Care LLC, a 31-clinician group, works from 10 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Washington.

Years since qualifying
3
Licensed in
ID, WA
In the registry since
2021
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

2619 W Fairview Ave Ste 3100
Boise, ID 83702-6722
Phone: (208) 706-2663
Fax: (208) 486-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (9)

  • 2619 W Fairview Ave Ste 3100, Boise, ID 83702-6722 — (208) 706-2663
  • 2619 W Fairview Ave Ste 3100, Boise, ID 83702-6722 — (208) 706-2663
  • 2619 W Fairview Ave, Boise, ID 83702
  • 2619 W Fairview Ave, Boise, ID 83702
  • 1620 Lake Tapps Pkwy Se Ste 115, Auburn, WA 98092-8376 — (253) 246-2860
  • 27005 168th Pl Se Ste 201, Covington, WA 98042-4902 — (253) 630-3660
  • 24060 Se Kent Kangley Rd Ste D-100, Maple Valley, WA 98038-6851 — (425) 358-7708
  • 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 — (425) 656-5060
  • 150 Andover Park W, Tukwila, WA 98188-2801 — (425) 979-2663

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA-2723 (ID)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA61349330 (WA)

Record details

NPI number1265009781
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 4, 2021
Last updated in NPPESMay 8, 2024
Certification dateApril 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Direct Orthopedic Care Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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