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SHANDRA BLACKER LMSW
NPI 1063892750
Social Worker - Clinical in Idaho Falls, ID

Active since June 08, 2015PECOS EnrolledAccepts Medicare Assignment
2275 W BROADWAY ST STE G, IDAHO FALLS, ID 83402(208) 524-7400 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shandra Blacker Lmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANDRA BLACKER LMSW (NPI 1063892750) is an individual clinical provider in Idaho Falls, Idaho, licensed in Idaho (34857) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1063892750
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHANDRA BLACKERCredential: LMSW
Location Address2275 W BROADWAY ST STE GIdaho Falls, ID 83402-2902
Mailing Address2275 W Broadway St Ste GIdaho Falls, ID 83402-2902 · (208) 524-7400
Phone(208) 524-7400
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 8, 2015
✔ NPI 1063892750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in ID · 34857
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2275 W BROADWAY ST STE G, Idaho Falls, ID 83402
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shandra Blacker Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486065323
PECOS Enrollment IDI20201124002437
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shandra Blacker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mountain View Hospital LLC
4.7 mi
General Acute Care Hospital
2325 CORONADO ST
Idaho Falls, ID 83404
  • Reassigned Medicare billing, Idaho enrollment
  • 298 clinicians in this Medicare group
NPI 1669462362 (208) 557-2700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULA MARIE GREEN LMSW
Social Worker
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
MARCUS BOYD GOLDER LMSW
Social Worker (Clinical)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
BRENDA P STEGELMEIER LPC
Counselor
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
MRS. MORGAN K HUMPHRIES LPC
Counselor (Professional)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
DONALEE FIFE MEEK LMSW
Social Worker
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
ASHLEY BALL LMSW
Social Worker (Clinical)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
JAMES GARNER BARNES SUDA
Counselor (Addiction (Substance Use Disorder))
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 821-7052
MEGAN URICK
Social Worker (Clinical)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shandra Blacker's NPI number?

The NPI number for Shandra Blacker is 1063892750. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Where is Shandra Blacker located?

Shandra Blacker practices at 2275 W Broadway St Ste G, Idaho Falls, ID 83402. The listed phone number is (208) 524-7400.

What is Shandra Blacker's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shandra Blacker enrolled in Medicare?

Yes. Shandra Blacker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shandra Blacker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shandra Blacker reassigns Medicare benefits to Mountain View Hospital LLC (Idaho Falls, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shandra Blacker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shandra Blacker accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health and 1 other insurer list Shandra Blacker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shandra Blacker was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.