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NATHAN THOMPSON BURKE ACNPC-AG
NPI 1558074955
Nurse Practitioner - Acute Care in Boise, ID

Active since December 30, 2022PECOS EnrolledAccepts Medicare Assignment
287 W JEFFERSON ST, BOISE, ID 83702(208) 322-1680(208) 385-7708 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 12, 2024, Oct 15, 2023, Mar 22, 2023 and 1 more (4 updates tracked since 2022).

About Nathan Thompson Burke Acnpc-ag NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN THOMPSON BURKE ACNPC-AG (NPI 1558074955) is an individual acute care provider in Boise, Idaho, licensed in Idaho (70954) and active in the NPI registry since December 2022. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and maintains a secondary practice location in Idaho Falls.

NPPES Registry Identity

NPI1558074955
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameNATHAN THOMPSON BURKECredential: ACNPC-AG
Location Address287 W JEFFERSON STBoise, ID 83702-6045
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 322-1680
Fax(208) 385-7708
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 30, 2022
Last NPPES UpdateNovember 12, 20244 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1558074955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in ID · 70954
287 W JEFFERSON ST, Boise, ID 83702
Open in Google Maps ↗

Secondary Practice Location 1

Location 12730 Channing WayIdaho Falls, ID 83404-5049 · Phone (208) 542-7100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathan Thompson Burke Acnpc-ag is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325405723
PECOS Enrollment IDI20230530002573
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Nathan Burke reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Lukes Clinic-Treasure Valley LLC
0.2 mi
Family Medicine
190 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1326336058 (208) 381-2222
Cc Pocatello LLC
195 mi
Family Medicine
1595 YELLOWSTONE AVE
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 31 clinicians in this Medicare group
NPI 1538517156 (208) 233-0032
Mountain View Hospital LLC
195 mi
Pain Medicine
1595 YELLOWSTONE AVE
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 298 clinicians in this Medicare group
NPI 1699141150 (208) 522-7246
Community Care West Side LLC
208 mi
Family Medicine
765 S UTAH AVE
Idaho Falls, ID 83402
  • Reassigned Medicare billing, Idaho enrollment
  • 38 clinicians in this Medicare group
NPI 1295009785 (208) 525-2600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services32 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

St Luke's Mccall

Critical Access Hospitals · Mccall, ID
OwnershipProprietary
CMS Certification Number131312
Location1000 State StreetMccall, ID 83638 · Valley County
Emergency services Birthing friendly

St Luke's Wood River Medical Center

Critical Access Hospitals · Ketchum, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131323
Location100 Hospital DriveKetchum, ID 83340 · Blaine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JENNIFER HOLLON APRN-CNP
Nurse Practitioner (Family)
287 W JEFFERSON ST
BOISE, ID 83702
Ada County (208) 322-1680
DR. LUCIANO COSTA AMADO MD
Internal Medicine (Clinical Cardiac Electrophysiology)
287 W JEFFERSON ST
BOISE, ID 83702
Ada County (208) 322-1680
ROBERT S LEE MD
Internal Medicine (Cardiovascular Disease)
287 W JEFFERSON ST
BOISE, ID 83702
Ada County (208) 343-7940
MATTHEW SAUL DUBMAN APRN-CNP
Nurse Practitioner (Acute Care)
287 W JEFFERSON ST
BOISE, ID 83702
Ada County (208) 322-1680
KATHERINE ELIZABETH MANKUS PA-C
Physician Assistant
287 W JEFFERSON ST
BOISE, ID 83702
Ada County (208) 322-1680
KATHARINE M HALL NP
Nurse Practitioner (Family)
287 W JEFFERSON ST
BOISE, ID 83702
Ada County (208) 322-1680
JUSTICE ORANEFO M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
287 W JEFFERSON ST
BOISE, ID 83702
Ada County (208) 322-1680
ALLISON ZARTMAN NP
Nurse Practitioner (Family)
287 W JEFFERSON ST
BOISE, ID 83702
Ada County (208) 322-1680

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Burke's NPI number?

The NPI number for Nathan Burke is 1558074955. It was assigned to this individual provider in the NPPES registry on December 30, 2022.

Where is Nathan Burke located?

Nathan Burke practices at 287 W Jefferson St, Boise, ID 83702. The listed phone number is (208) 322-1680.

What is Nathan Burke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nathan Burke enrolled in Medicare?

Yes. Nathan Burke is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nathan Burke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Burke reassigns Medicare benefits to 4 organizations: St Lukes Clinic-Treasure Valley LLC (Boise, ID), Cc Pocatello LLC (Pocatello, ID), Mountain View Hospital LLC (Pocatello, ID) and Community Care West Side LLC (Idaho Falls, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nathan Burke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Burke accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Select Health list Nathan Burke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nathan Burke affiliated with any hospitals?

According to CMS data, Nathan Burke is affiliated with St Lukes Magic Valley Medical Center, St Luke's Regional Medical Center, St Luke's Nampa Medical Center, St Luke's Mccall and St Luke's Wood River Medical Center.

When was this NPI record last updated?

The NPPES record for Nathan Burke was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.