Physician Assistant, Surgical
SHELBY GIBBONS PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1265009781 · enumerated 2021-06-04 · record updated 2024-05-08. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 190 E BANNOCK ST, BOISE, ID, 83712-6241 Fax (425) 656-5047 Google Maps Apple Maps OpenStreetMap
- Practice location 2619 W FAIRVIEW AVE STE 3100, BOISE, ID, 83702-6722 (208) 706-2663 Fax (208) 486-4300 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · License PA61349330 WA
- Physician Assistant, Surgical 363AS0400X · Primary · License PA-2723 ID
In this directory
Locations and evidence
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Practice location
BOISE, ID, 837026722
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.