Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Barajas, PA-C

Individual provider Physician Assistant · NPI 1821697590

Jacqueline Barajas, PA-C is a Physician Assistant in Boise, Idaho. Qualified in 2022, 4 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and New Mexico.

Years since qualifying
4
Licensed in
ID, NM
In the registry since
2020
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

701 E Parkcenter Blvd
Boise, ID 83706-6528
Phone: (208) 381-6500
Fax: (208) 381-6505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 — (505) 272-2411

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2751 (ID)
Physician Assistant Taxonomy 363A00000X · Licence PA2022-0084
Physician Assistant Taxonomy 363A00000X · Licence PA2022-0084 (NM)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA2022-084 (NM)

Record details

NPI number1821697590
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 22, 2020
Last updated in NPPESApril 26, 2024
Certification dateApril 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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