BROOKE F MISCHKOT MD
NPI 1649837931
Family Medicine in Boise, ID

Q: What is Brooke Mischkot's NPI number?

The NPI number for Brooke Mischkot is 1649837931. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Q: What is Brooke Mischkot's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Brooke Mischkot was last updated on July 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 22, 2019PECOS Enrolled

777 N RAYMOND ST, BOISE, ID 83704(208) 514-2500(208) 375-2217 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 13, 2021, May 22, 2019 (2 updates tracked since 2019).

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About Brooke F Mischkot Md NPPES

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

BROOKE F MISCHKOT MD (NPI 1649837931) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (MRM-2023) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1649837931

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameBROOKE F MISCHKOTCredential: MD

Location Address777 N RAYMOND STBoise, ID 83704-9251

Mailing Address777 N Raymond StBoise, ID 83704-9251 · (208) 514-2500 · Fax (208) 375-2217

Phone(208) 514-2500

Fax(208) 375-2217

Sole ProprietorNo

Enumeration DateMay 22, 2019

Last NPPES UpdateJuly 13, 20212 updates tracked since enumeration

NPPES CertifiedJuly 13, 2021

✔ NPI 1649837931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · MRM-2023

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

777 N RAYMOND ST, Boise, ID 83704

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Secondary Practice Location 1

Location 13181 SW Sam Jackson Park RdPortland, OR 97239-3079 · Phone (503) 507-1713

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke F Mischkot Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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 20

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

TRACY ADAMS DO

Family Medicine