MELISSA KROON (PA) – Physician Assistant, NPI 1962892240

MELISSA KROON (PA) is a healthcare provider. based in Boise, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA-1557 (ID). The NPI Number for MELISSA KROON (PA) is 1962892240

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA KROON (PA)
NPI
1962892240
Phone
(208) 378-0080
Address
901 N CURTIS RD STE 100
Enumeration Date
26 January 2015
Last Update Date
8 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083780080
Graduation Year
2014 (12 years ago)
PAC ID
9436479862
Group Practice PAC ID
6901860014
Professional Enrollment ID
I20171212002046
Address ID
ID836166865EA323XXDRXX427
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Digital endpointsOther names

1,534 PHYSICIAN ASSISTANT in ID

Provider Addresses for MELISSA KROON (PA)

  • 901 N CURTIS RD STE 100

    BOISE, ID 837061339

    Phone: (208) 378-0080

    Fax: (208) 378-0259

    Type: Location

  • 323 E Riverside Dr Ste 204

    Eagle, ID 836166865

    Phone: (208) 378-0080

    Fax: (208) 378-0259

    Type: Location

  • 4424 E Flamingo Ave Ste 340

    Nampa, ID 836879291

    Phone: (208) 378-0080

    Fax: (208) 378-0259

    Type: Location

  • 2320 E Gala St Ste 500

    Meridian, ID 836424875

    Phone: (208) 378-0080

    Fax: (208) 378-0259

    Type: Location

  • 215 E HAWAII AVE

    NAMPA, ID 836866011

    Phone: (208) 463-3000

    Fax: (208) 463-3079

    Type: Mailing

  • 9850 ST LUKES DR

    NAMPA, ID 836877912

    Phone: (208) 463-3000

    Fax: (208) 288-4951

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $817.

Total Amount is formed as General ($817) + Research ($0) + Ownership ($0) = $817.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($274).

Total Amount

$817

General + Research + Ownership

Payments

33

Total payment records

General Amount

$817

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2017-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20171212002046IPhysician AssistantIDTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 83706)

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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: 6901860014View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YID
Nurse PractitionerID
Pediatric Medicine, Allergy/ImmunologyID
-ID
Nurse PractitionerID
Nurse PractitionerID
A L L E R G Y/ I M M U N O L O G YID

Reviews

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Frequently asked questions

Is MELISSA KROON (PA) listed with a National Provider Identifier?
Yes — MELISSA KROON (PA) has NPI 1962892240 on file in the registry.
Would MELISSA KROON (PA) appear as active to a payer?
You can treat MELISSA KROON (PA) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MELISSA KROON (PA)?
MELISSA KROON (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Idaho is MELISSA KROON (PA) registered?
Use Boise, Idaho as the headline location for MELISSA KROON (PA) here.
Can I trust this NPI listing for MELISSA KROON (PA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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