P Praxis·MD
● Active Type 1 · Individual

Michael Brian Lynn, PAC

Physician Assistant·Boise, ID· NPI 1669774469 · Enumerated 2010 · 15 years on NPI
Lynn is 1 of 363 physician assistant providers in Boise and 1 of 1263 in Idaho.
NPI age
15 years
Enumerated 2010-11-30
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID, PA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-12-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1263 active physician assistant providers in Idaho.

NPI age
15 years
↑ 6 yr above median (9 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
1
In the 35% of peers with subspecialties

NPI lifetime · 2010 → 2026

2010-11Enumerated in NPPES
2010 2026

Where they practice

Practice location
100 E Idaho St Ste 316
Boise, ID 837126269
📞 2083819350fax 2083819351
Mailing address
190 E Bannock St
Boise, ID 837126241

Additional practice locations

1 secondary location on file with NPPES.

Location 2
300 Halket St Ste C-400
Pittsburgh, PA 152133108
📞 4126417842

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    ID license #7361377PA license #MA054496 taxonomy 363A00000X
  • Surgery
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    PA license #MA054496 taxonomy 208600000X

Identifiers

TypeValueNotes
01 (PA) 251879554 TAX ID
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 3 new physician assistant providers have been added in Boise in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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