Kimberly Rose Mrozek, PA-C
NPI 1164985867ActiveIndividual· Physician Assistant, Medical· Boise, ID
Physician Assistant, Medical (PA-C) with St Lukes Clinic-Treasure Valley LLC, practicing in Boise, Idaho. 215 Medicare patients in 2024, $26,866 paid; nearly all of their 136 Part D prescriptions were generic (93%). Globus Medical, Inc. reported $105.64 in payments in 2025, mostly food and beverage. Lists St Luke's McCall and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1164985867 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 9, 2019 |
| Last updated in NPPES | Jul 21, 2025 |
| Certified by provider | Jul 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 3271156 | ID |
| Physician Assistant, Medical | 363AM0700X | 4845 | WI |
| Physician Assistant | 363A00000X | PA2816 | KY |
| Physician Assistant, Medical | 363AM0700X | TC074 | KY |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (ID); Practitioner - Physician Assistant (IN); Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 215 |
|---|---|
| Services billed | 315 across 31 procedure codes |
| Paid by Medicare | $26,866 |
Part D prescriptions in 2024
| Prescriptions (claims) | 136 · 137 30-day fills |
|---|---|
| Patients | 100 |
| Total drug cost | $1,841 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- St Lukes Clinic-Treasure Valley LLCMeridian, ID · 1,173 clinicians
Hospital affiliations
- St Luke's McCallMcCall, ID
- St Luke's Nampa Medical CenterNampa, ID
- St Luke's Regional Medical CenterBoise, ID
- St Lukes Magic Valley Medical CenterTwin Falls, ID
Industry payments (Open Payments)
- 2025$105.64 · 2 payments from 1 company
- 2024$134.80 · 2 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Globus Medical, Inc. | $105.64 | 2 |
What the 2025 payments were for
- Food and Beverage$105.64 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Boise
- 1033354915
- 1083123277
- 1134358104
- 1154870251
- 1164851168
- 1245607662
- 1255482683
- 1265464036
- 1275007965
- 1285904144
- 1316677636
- 1376570440
All 92 physician assistants in Boise · All physician assistants in Idaho