Clinicians affiliated with Mountain Pine Dermatology PLLC

10 clinicians on file with this group · most practice in Boise City, ID · PAC ID 8729366455

Affiliation snapshotOctober 2, 2026CMS Doctors and Clinicians file, current snapshot (no end-of-2024 archive), applied to 2024
Activity year2024Medicare Part B claims, Original Medicare fee-for-service

9 clinicians affiliated with Mountain Pine Dermatology PLLC are in the 2024 Medicare Part B data, 3 of them physicians. Data years with affiliated clinicians: 2020, 2021, 2022, 2023, 2024.

Each clinician's exact figures are in their Physician Report, from their page; a specialty's figures in this market are in a Market Comparison. View sample report · Already purchased? Open your report

Affiliated clinicians by specialty, 2024

All specialties · Nurse Practitioner (4) · Dermatology (3) · Physician Assistant (2)

Specialty links go to the specialty in Boise City, ID.

Clinicians affiliated with Mountain Pine Dermatology PLLC, 2024

Alphabetical by last name; 9.

NameSpecialtyCity
Ladessa M Christensen, NP-CNurse PractitionerMeridian, ID
Avery Dinallo, DNP, APN, FNP-CNurse PractitionerMeridian, ID
Vienna G Katana, DODermatologyMeridian, ID
Nadezhda Kravchuk, NP-CNurse PractitionerNampa, ID
Chelsea Miller, PA-CPhysician AssistantMeridian, ID
Benjamin M Perry, D.O.DermatologyMeridian, ID
William L Taylor, PA-CPhysician AssistantPocatello, ID
Richard S Thomas, D.O.DermatologyMeridian, ID
Jennifer Wicklund, FNP-CNurse PractitionerMeridian, ID

Practice locations

Listed practice locations in Idaho, Oregon.

Source: CMS Doctors and Clinicians National Downloadable File, snapshot October 2, 2026.

Membership comes from the CMS Doctors and Clinicians file. CMS does not publish an end-of-year archive of it, so the current snapshot is applied to every data year. A clinician affiliated with several groups or hospitals appears on each of their pages. How group pages are built · Limitations