ISABELA ROSE LETE (PA-S) – Physician Assistant, NPI 1275264731

ISABELA ROSE LETE (PA-S) is a healthcare provider. based in Boise, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-S. They hold a License No. 191787 (ID). The NPI Number for ISABELA ROSE LETE (PA-S) is 1275264731

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
ISABELA ROSE LETE (PA-S)
NPI
1275264731
Phone
(208) 429-9100
Address
222 N 2nd St Ste 204
Enumeration Date
23 June 2022
Last Update Date
11 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2086642185
Graduation Year
2023 (3 years ago)
PAC ID
2264875160
Group Practice PAC ID
2860794070
Professional Enrollment ID
I20240207003806
Address ID
ID838142403CO210XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:3State licenses:3Digital endpointsOther names

1,534 PHYSICIAN ASSISTANT in ID

Provider Addresses for ISABELA ROSE LETE (PA-S)

  • 222 N 2nd St Ste 204

    Boise, ID 837026130

    Phone: (208) 429-9100

    Type: Location

  • 500 S 8th St

    Boise, ID 837027107

    Phone: (855) 255-1750

    Fax: (855) 255-0905

    Type: Location

  • 1177 N 4TH ST

    BOISE, ID 837024404

    Phone:

    Type: Mailing

  • 921 S 8TH AVE STOP 8253

    POCATELLO, ID 832090002

    Phone: (208) 282-4726

    Type: Location

  • 4155 S 1175 E

    MILLCREEK, UT 841241206

    Phone: (208) 989-8460

    Type: Mailing

  • 3115 E LION LN STE 160

    SALT LAKE CITY, UT 841213514

    Phone: (855) 255-1750

    Fax: (855) 255-0905

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240207003806IPhysician AssistantIDTBD
I20240626001641IPhysician AssistantUTTBD
I20250114004124IPhysician AssistantWATBD
I20250307001969IPhysician AssistantORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860794070View full group profile
NameSpecialtyState
Nurse PractitionerID
Physician AssistantWA
Physician AssistantID
Nurse PractitionerOR
Physician AssistantAZ
-CA
Physician AssistantOR
-UT
Physician AssistantOR
-CA

Reviews

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Frequently asked questions

What federal number belongs to ISABELA ROSE LETE (PA-S)?
The federal identifier for ISABELA ROSE LETE (PA-S) is NPI 1275264731.
Is ISABELA ROSE LETE (PA-S)'s NPI currently valid?
The extract we use shows ISABELA ROSE LETE (PA-S) as active.
Does ISABELA ROSE LETE (PA-S) list a primary specialty?
If you are matching referrals, note Physician Assistant for ISABELA ROSE LETE (PA-S). Clinical services aligned with this taxonomy classification.
Where does public data place ISABELA ROSE LETE (PA-S)?
The snapshot lists Boise, Idaho for ISABELA ROSE LETE (PA-S); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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