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Active NPI 1336734789 Individual Practitioner Female Practitioner

Audra Lynn Wilson , PA-C

Physician Assistant • Boise, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Audra Wilson, PA-C is a certified Physician Assistant practicing in Boise, ID. With approximately 4 years of clinical experience since graduating from Des Moines University Of Osteopathic Medicine And Health Sciences in 2022, Audra Wilson delivers high-quality medical care to the local community at 6140 W CURTISIAN AVE STE 400.

Audra Wilson is affiliated with Kelly Bridges Neurosurgery Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6140 W Curtisian Ave Ste 400

Boise, ID 837048907

Telephone 2083275600
Fax 2083275602
Associated Practice Facility / Clinic
🏢 Timothy J Johans, Md Facility NPI 1942330204

Medicare Profile & Education

Medical School

Des Moines University Of Osteopathic Medicine And Health Sciences

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Boise, ID

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -6.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
364 Specialists

Practicing in Boise, ID (1261 Statewide)

Telehealth Adoption Rate
12.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (4 Years) 4 Yrs
Boise Specialty Average (10.1 Years) 10.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg
880 19 $1.00 $0.13
99213 Established patient office or other outpatient visit, typically 15 minutes
109 63 $176.22 $74.71
20610 Aspiration and/or injection of fluid from large joint
97 57 $219.99 $55.21
J7323 Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose
81 39 $548.00 $116.26
73562 X-ray of knee, 3 views
31 28 $103.19 $34.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
29 29 $238.52 $94.41
73030 X-ray of shoulder, minimum of 2 views
27 16 $85.11 $29.16
73502 X-ray of hip, 2-3 views
15 15 $106.13 $41.03
29827 Repair of shoulder rotator cuff using an endoscope
15 15 $3068.80 $143.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
12 11 $120.00 $48.19

Medical Specialties & State Licenses

CMS Verified: 2024-12-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID 1661274

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WA PA61338060

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License WA PA61338060

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2215177 (WA)

Hospital & Practice Group Affiliations

Kelly Bridges Neurosurgery Pllc

1055 N Curtis Rd, Boise, ID 837061309

Phone: 2083672121

Kelly Bridges Neurosurgery Pllc

6140 W Curtisian Ave, Boise, ID 837048907

Phone: 2083275600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
NPI 1033634936

Physician Assistant

Dr. Michael Hajjar , MD

Neurological Surgery

NPI 1154343309

Doctor of Medicine (M.D.)

Kelli Goold , CFA

Specialist/Technologist, Other - Surgical Assistant

NPI 1154489110
Kurt Wiebold , PA

Physician Assistant

NPI 1215690474

Physician Assistant

Jeffrey Flaker , PA

Physician Assistant

NPI 1295780062

Physician Assistant

Teresa Weeks , FNP

Nurse Practitioner - Family

NPI 1346259454

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location December 10, 2024

Registered at 6140 W CURTISIAN AVE STE 400, BOISE, ID 837048907 (Tel: 2083275600)

📍
Updated Business Mailing Address December 10, 2024

Registered at 6140 W CURTISIAN AVE STE 400, BOISE, ID 837048907 (Tel: 2083275600)

📍
Updated Practice Location October 02, 2023

Registered at 3801 5TH ST SE STE 110, PUYALLUP, WA 983742106 (Tel: 2538459585)

📍
Updated Business Mailing Address October 02, 2023

Registered at 3801 5TH ST SE STE 110, PUYALLUP, WA 983742106 (Tel: 2538459585)

📍
Updated Practice Location September 21, 2022

Registered at 1608 S J ST FL 5, TACOMA, WA 984054930 (Tel: 2532747505)

📍
Updated Business Mailing Address September 21, 2022

Registered at 1608 S J ST FL 5, TACOMA, WA 984054930 (Tel: 2532747505)

👤
Provider Name / Credentials Updated September 21, 2022

Recorded as AUDRA WILSON, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2022

Physician Assistant (License #PA61338060 in WA)

NPI Profile Active March 08, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2021

Registered at 3200 GRAND AVE, DES MOINES, IA 503124104 (Tel: 5152711569)

📍
Updated Business Mailing Address March 08, 2021

Registered at 3299 N BOULDER CREEK AVE, MERIDIAN, ID 836465553 (Tel: 2088506435)

👤
Provider Name / Credentials Updated March 08, 2021

Recorded as AUDRA WILSON, STUDENT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 08, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336734789
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 08, 2021
Last Update: December 10, 2024
Sole Proprietor: No

Mailing Address

6140 W Curtisian Ave Ste 400

Boise, ID 837048907

Phone: 2083275600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.