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BLAKE MCDONALD PMHNP
NPI 1396379475
Nurse Practitioner - Psychiatric/Mental Health in Caldwell, ID

Active since February 27, 2020PECOS EnrolledAccepts Medicare Assignment
1906 FAIRVIEW AVE STE 220, CALDWELL, ID 83605(208) 795-5072(208) 402-0068 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2020, Feb 27, 2020 (2 updates tracked since 2020).

About Blake Mcdonald Pmhnp NPPES

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

BLAKE MCDONALD PMHNP (NPI 1396379475) is an individual psychiatric/mental health provider in Caldwell, Idaho, licensed in Idaho (63996) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS, is affiliated with West Valley Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396379475
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameBLAKE MCDONALDCredential: PMHNP
Location Address1906 FAIRVIEW AVE STE 220Caldwell, ID 83605-5432
Mailing AddressPo Box 277976Atlanta, GA 30384-7976
Phone(208) 795-5072
Fax(208) 402-0068
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 27, 2020
Last NPPES UpdateApril 21, 20202 updates tracked since enumeration
NPPES CertifiedApril 21, 2020
✔ NPI 1396379475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ID · 63996
1906 FAIRVIEW AVE STE 220, Caldwell, ID 83605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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

Blake Mcdonald Pmhnp 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 ID9335565423
PECOS Enrollment IDI20200819004273
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
64 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Valley Medical Center

Acute Care Hospitals · Caldwell, ID
5/5 CMS rating
OwnershipProprietary
CMS Certification Number130014
Location1717 Arlington StreetCaldwell, ID 83605 · Canyon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83605 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
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 3

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

DR. RICHARD A. MONTGOMERY M.D.
Psychiatry & Neurology (Psychiatry)
1906 FAIRVIEW AVE STE 220
CALDWELL, ID 83605
Canyon County (208) 795-5072
COLT KENNINGTON
Psychiatry & Neurology (Psychiatry)
1906 FAIRVIEW AVE STE 220
CALDWELL, ID 83605
Canyon County (208) 795-5072
DR. ALFRED F BREM DO
Psychiatry & Neurology (Psychiatry)
1906 FAIRVIEW AVE STE 220
CALDWELL, ID 83605
Canyon County (208) 459-4667

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 Blake Mcdonald's NPI number?

The NPI number for Blake Mcdonald is 1396379475. It was assigned to this individual provider in the NPPES registry on February 27, 2020.

Where is Blake Mcdonald located?

Blake Mcdonald practices at 1906 Fairview Ave Ste 220, Caldwell, ID 83605. The listed phone number is (208) 795-5072.

What is Blake Mcdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Blake Mcdonald enrolled in Medicare?

Yes. Blake Mcdonald 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 Blake Mcdonald accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Blake Mcdonald 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.

Is Blake Mcdonald affiliated with any hospitals?

According to CMS data, Blake Mcdonald is affiliated with West Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Blake Mcdonald was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.