JOSHUA BOSLEY KIBA (PA) – Physician Assistant, NPI 1023433158

JOSHUA BOSLEY KIBA (PA) is a healthcare provider. based in Port huron, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5601006955 (FL). The NPI Number for JOSHUA BOSLEY KIBA (PA) is 1023433158

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
JOSHUA BOSLEY KIBA (PA)
NPI
1023433158
Phone
(810) 985-4900
Address
940 RIVER CENTRE DR
Enumeration Date
26 February 2014
Last Update Date
30 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8109854900
Graduation Year
2013 (13 years ago)
PAC ID
1951532530
Group Practice PAC ID
1951391093
Professional Enrollment ID
I20140324002239
Address ID
MI480604463PO940XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for JOSHUA BOSLEY KIBA (PA)

  • 940 RIVER CENTRE DR

    PORT HURON, MI 480604463

    Phone: (810) 985-4900

    Fax: (810) 985-3634

    Type: Mailing

  • 7544 JACQUE RD

    HUDSON, FL 346677162

    Phone: (727) 697-2200

    Fax: (727) 863-8774

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-05-01 • Largest payer in this snapshot: Medtronic, Inc. ($20).

Total Amount

$54

General + Research + Ownership

Payments

3

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-01

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2026-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140324002239IPhysician AssistantMITBD
I20260211003086IPhysician AssistantFLTBD

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 minutes10786$0
72100X-ray of lower and sacral spine, 2-3 views4634$0
99212Established patient office or other outpatient visit, 10-19 minutes3938$0
72040X-ray of upper spine, 2-3 views2817$0
22842Placement of stabilizing device to back, 3-6 spine bone segments1212$0
View full utilization report →

Insurance plans in this area (ZIP 48060)

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Provider's Procedures

JOSHUA BOSLEY KIBA (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMI22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments1111

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: 1951391093View full group profile
NameSpecialtyState
-PA
Physician AssistantMI
P O D I A T R YMI
-MI
Orthopedic SurgeryPA
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeMI
Orthopedic Surgery, Sports MedicineMI
Nurse PractitionerMI
Physician AssistantMI

Reviews

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Frequently asked questions

Where can patients find JOSHUA BOSLEY KIBA (PA)'s NPI?
You can confirm JOSHUA BOSLEY KIBA (PA) with NPI 1023433158; it appears in the national provider directory.
Is JOSHUA BOSLEY KIBA (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does JOSHUA BOSLEY KIBA (PA) treat or focus on?
Patients typically see JOSHUA BOSLEY KIBA (PA) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Does JOSHUA BOSLEY KIBA (PA) practice in Michigan?
You will see Port Huron, Michigan on file for JOSHUA BOSLEY KIBA (PA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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