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

Nathan Thompson Burke, ACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1558074955

Nathan Thompson Burke, ACNPC-AG is a Nurse Practitioner 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.

Years since qualifying
4
Licensed in
ID
In the registry since
2022
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Practice location Address checks out

287 W Jefferson St
Boise, ID 83702-6045
Phone: (208) 322-1680
Fax: (208) 385-7708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2730 Channing Way, Idaho Falls, ID 83404-5049 — (208) 542-7100

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 70954 (ID)

Record details

NPI number1558074955
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNPC-AG
Sole proprietorYes
NPI enumeratedDecember 30, 2022
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
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 locations7 on file with Medicare

Other providers in Boise