Shelby Kaitlyn Gibbons, PA-C
Physician Assistant (CMS) · Boise, ID
At a glance
2619 W Fairview Ave Ste 3100, Boise, ID 83702-6722
NPPES record updated May 8, 2024. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
2619 W Fairview Ave Ste 3100Boise, ID 83702-6722
Additional reported practice locations
150 Andover Park WTukwila, WA 981882801
Phone: 4259792663
Fax: 4255244447 4011 Talbot Rd S Ste 300
Renton, WA 980555791
Phone: 4256565060
Fax: 4256565047 1620 Lake Tapps Pkwy Se Ste 115
Auburn, WA 980928376
Phone: 2532462860
Fax: 2532462861 2619 W Fairview Ave
Suite 3100
Boise, ID 83702 2619 W Fairview Ave Ste 3100
Boise, ID 837026722
Phone: 2087062663
Fax: 2084864300 2619 W Fairview Ave Ste 3100
Boise, ID 837026722
Phone: 2087062663
Fax: 2084864300 2619 W Fairview Ave
Suite 3100
Boise, ID 83702 24060 Se Kent Kangley Rd Ste D-100
Maple Valley, WA 980386851
Phone: 4253587708
Fax: 4256565047 27005 168Th Pl Se Ste 201
Covington, WA 980424902
Phone: 2536303660
Fax: 2536311591
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2023
- CMS specialties
- Physician Assistant
Practice groups
Reported hospital affiliations
- St Luke's Nampa Medical Center Nampa, ID
- St Luke's Regional Medical Center Boise, ID
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
Includes reported transfers of value, such as meals, travel, or consulting. Payments do not establish improper conduct or quality of care. Research funding and ownership values are excluded from this total.
See payment purposes and reporting companies
Reported purposes
| Purpose | Amount |
|---|---|
| Food and beverage | $113.45 |
Reporting companies
| Company | Amount |
|---|---|
| DEPUY SYNTHES SALES INC. | $113.45 |
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Physician Assistant (CMS)
- Taxonomy code
- 363AS0400X
- Enumeration date
- Jun 4, 2021
- Record updated
- May 8, 2024
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- PA-C
Reported taxonomies and licenses
363AS0400X
License reported: PA61349330 WA
363AS0400X · Primary
License reported: PA-2723 ID
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2619 W Fairview Ave Ste 3100Boise, ID 83702-6722
- Phone
- (208) 706-2663
- Fax
- (208) 486-4300
Mailing address
190 E BANNOCK STBOISE, ID 837126241
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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