SHANDRA BLACKER LMSW
NPI 1063892750
Social Worker - Clinical in Idaho Falls, ID
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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.
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.
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.
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.
What insurance does Shandra Blacker accept?
Health plans from PacificSource Health Plans, Select Health and University of Utah Health Plans 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.
# Shandra Blacker, LMSW · NPI 1063892750
Clinical provider in Idaho Falls, Idaho. Individual provider, active in the CMS NPPES registry since June 8, 2015.
## Identity
- **NPI:** 1063892750 (Entity type: Individual)
- **Enumerated:** June 8, 2015
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 34857 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 2275 W BROADWAY ST STE G, Idaho Falls, ID 83402-2902
- **Phone:** (208) 524-7400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** June 8, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1063892750) · Data from the CMS NPPES public registry.