Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jamie Brooke Peterson, PA-C

Individual provider Physician Assistant · NPI 1487078911

Jamie Brooke Peterson, PA-C is a Physician Assistant in Boise, Idaho. Qualified in 2013, 13 years ago. Practices with Onepeak Southern Oregon PC, a 26-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
13
Licensed in
ID
In the registry since
2014
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

10394 W Henrys Lake Dr
Boise, ID 83709-6283
Phone: (208) 440-0255
Fax: (208) 231-3371
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1325 Ne 7th St, Grants Pass, OR 97526-1358 — (541) 460-5331

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1236 (ID)

Record details

NPI number1487078911
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 4, 2014
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Onepeak Southern Oregon Pc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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