Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1649059197 Individual Practitioner Female Practitioner

Mackenzie Marie Gomez , PA-C

Physician Assistant • Boise, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mackenzie Gomez, PA-C is a certified Physician Assistant practicing in Boise, ID. With approximately 3 years of clinical experience since completing medical education in 2023, Mackenzie Gomez delivers high-quality medical care to the local community at 417 S 6TH ST.

Mackenzie Gomez is affiliated with St Lukes Clinic-Treasure Valley Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

417 S 6th St

Boise, ID 837027632

Telephone 2085774460
Fax 2085774469
Associated Practice Facility / Clinic
🏢 Community Health Clinics, Inc Facility NPI 1396249546

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

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
3 Yrs -7.1 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
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Gomez (3 Years) 3 Yrs
Boise Specialty Average (10.1 Years) 10.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-03-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID 4871647

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 FL 1200715

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.

Hospital & Practice Group Affiliations

St Lukes Clinic-Treasure Valley Llc

608 W Hays St, Boise, ID 837025511

Phone: 2083815970

St Lukes Clinic-Treasure Valley Llc

610 W Hays St, Boise, ID 837025511

Phone: 2083815970

St Lukes Clinic-Treasure Valley Llc

417 S 6th St, Boise, ID 837027632

Phone: 2085774460

Secondary Practice Locations

169 Sw 5th Ct

Deerfield Beach, FL 334414620

Phone: 9042458910

Practice Associates & Co-Workers

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

23 Associated Practitioners
Ann Guzman , NP

Nurse Practitioner - Pediatrics

NPI 1033305719

Nurse Practitioner

NPI 1043094303

Licensed Master Social Worker

NPI 1063259695

Licensed Master Social Worker

Emily Patterson , RN

Registered Nurse

NPI 1073203105

Registered Nurse

Avery Bolton , LMSW

Social Worker

NPI 1124773601

Licensed Master Social Worker

Crystal Malone , RN

Registered Nurse

NPI 1225729437

Registered Nurse

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 10, 2025

Registered at 417 S 6TH ST, BOISE, ID 837027632 (Tel: 2085774460)

📍
Updated Business Mailing Address March 10, 2025

Registered at 190 E BANNOCK ST, BOISE, ID 837126241

👤
Provider Name / Credentials Updated March 10, 2025

Recorded as MACKENZIE GOMEZ, PA-C

NPI Profile Active September 25, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2023

Registered at 169 SW 5TH CT, DEERFIELD BEACH, FL 334414620 (Tel: 9042458910)

📍
Updated Business Mailing Address September 25, 2023

Registered at 169 SW 5TH CT, DEERFIELD BEACH, FL 334414620 (Tel: 9542683787)

👤
Provider Name / Credentials Updated September 25, 2023

Recorded as MACKENZIE GOMEZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2023

Physician Assistant (License #1200715 in FL)

🟢
Initial NPI Registration & Enumeration September 25, 2023

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: 1649059197
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2023
Last Update: March 10, 2025
Sole Proprietor: No

Mailing Address

190 E Bannock St

Boise, ID 837126241

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.