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

Michael Brian Lynn, PAC

Individual provider Surgery Physician · NPI 1669774469

Michael Brian Lynn, PAC is a Physician Assistant in Boise, Idaho. Qualified in 2010, 16 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 Pennsylvania.

Years since qualifying
16
Licensed in
ID, PA
In the registry since
2010
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

100 E Idaho St Ste 316
Boise, ID 83712-6269
Phone: (208) 381-9350
Fax: (208) 381-9351
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Halket St Ste C-400, Pittsburgh, PA 15213-3108 — (412) 641-7842

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7361377 (ID)
Surgery Physician Taxonomy 208600000X · Licence MA054496 (PA)
Physician Assistant Taxonomy 363A00000X · Licence MA054496 (PA)

Record details

NPI number1669774469
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 30, 2010
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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