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Adriana Elizabeth Pons

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

190 E Bannock St Fl 9, Boise, ID 83712-6241

PECOS Enrollment

This provider is enrolled in PECOS as ADRIANA PONS.

Based on the most recent information from CMS, provider Adriana Elizabeth Pons is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1073891016
Provider Type
Individual
Full Name
Pons, Adriana Elizabeth
Credential
PA-C, NP-C

Gender
Female
Sole Proprietor
No
Enumeration Date
7/25/2011
Last Updated
2/18/2026

Contact Information

Practice Location

190 E Bannock St Fl 9, Boise, ID 83712-6241

(208) 381-3971

(208) 381-2566

Mailing Location

190 E Bannock St, Boise, ID 83712-6241

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 9471096 Idaho
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 21665 California
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 21713 California

Adriana Elizabeth Pons

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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