NPIMap

Individual provider Active NPI

Rochelle Marie Lynam, MPH, PA-S

  • Medical Physician Assistant
  • Nampa, ID
National Provider Identifier
1215190798
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-1203 Issued in ID
Practice address
211 16TH Ave N
Nampa, ID 83687-4058
Phone
(208) 467-4431
Fax
(208) 467-7684
NPI assigned
Jul 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X PA-1203 ID Primary

Addresses

Primary practice location

211 16TH Ave N
Nampa, ID 83687-4058

Mailing address

701 E Parkcenter Blvd
Boise, ID 83706-6528

Other identifiers 4

IdentifierTypeStateIssuer
P00691526OtherWARAILROAD MEDICARE
8528598MedicaidWA
500606345MedicaidOR
0242920OtherWALABOR & INDUSTRIES

Other names 1

  • Kay Burnett Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150529001904 ID Practitioner - Physician Assistant 2567522345 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sterling Provider GroupGroup PAC ID 2264773373, 52 clinicians
St Lukes Clinic-Treasure Valley LLCGroup PAC ID 4981878402, 1,155 clinicians

Practice addresses (Care Compare)

3185 E Ustick Rd
Meridian, ID 83646-5056
Phone (208) 296-7100

608 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

610 W Hays St
Boise, ID 83702-5511
Phone (208) 381-5970

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Associates PLLC Single Specialty Current Accepting new patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Nov 10, 2025 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Single Specialty CurrentSince Nov 10, 2025 Accepting new patients
St Lukes Regional Medical Center Past Accepting new patients

Locations

701 E Parkcenter Blvd
Boise, ID 83706
Phone (208) 381-6400

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338

740 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 542-9111

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1215190798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E PARKCENTER BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837066528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 16TH AVE N",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836874058",
            "telephone_number": "208-467-4431",
            "fax_number": "208-467-7684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNAM",
        "first_name": "ROCHELLE",
        "middle_name": "MARIE",
        "credential": "MPH, PA-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-06",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": "PA-1203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00691526",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8528598",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500606345",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0242920",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "BURNETT",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.