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

Mr. Jay Dean Burrup, PA-C

Individual provider Physician Assistant · NPI 1144504556

Mr. Jay Dean Burrup, PA-C is a Physician Assistant in Meridian, Idaho. Qualified in 2011, 15 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Idaho and Oregon.

Years since qualifying
15
Licensed in
ID, OR
In the registry since
2011
Specialties on file
2
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

3399 E Louise Dr Ste 400
Meridian, ID 83642-5212
Phone: (208) 706-4650
Fax: (208) 706-4651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 6165 W Emerald St, Boise, ID 83704-8613 — (208) 302-3900
  • 1525 S Owyhee St, Boise, ID 83705-6014 — (208) 392-3354
  • 2780 E Barnett Rd, Medford, OR 97504-8674 — (541) 779-6250

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1593 (ID)
Physician Assistant Taxonomy 363A00000X (OR)

Record details

NPI number1144504556
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 4, 2011
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Meridian