MRS. SAMANTHA D'ANN BLACKBURN PMHNP-BC; FNP-C
NPI 1811534613
Nurse Practitioner - Psychiatric/Mental Health in Meridian, ID

Q: What is Samantha Blackburn's NPI number?

The NPI number for Samantha Blackburn is 1811534613. It was assigned to this individual provider in the NPPES registry on November 29, 2019. The provider is also known as Ms. Samantha D'ann Fundingsland Pmhnp-Bc; Fnp-C.

Q: What is Samantha Blackburn's specialty?

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

Q: Is Samantha Blackburn enrolled in Medicare?

No. Samantha Blackburn has opted out of Medicare through May 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Active since November 29, 2019Opted out of Medicare · through May 20, 2028

3709 N LOCUST GROVE RD STE 150, MERIDIAN, ID 83646(208) 208-5430(208) 208-5431 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2026, Dec 28, 2025, Jan 7, 2022 and 3 more (6 updates tracked since 2019).

On this page

About Mrs. Samantha D'ann Blackburn Pmhnp-bc; Fnp-c NPPES

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

MRS. SAMANTHA D'ANN BLACKBURN PMHNP-BC; FNP-C (NPI 1811534613) is an individual psychiatric/mental health provider in Meridian, Idaho, licensed in Idaho (65041) and active in the NPI registry since November 2019. She has opted out of Medicare through May 20, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1811534613

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. SAMANTHA D'ANN BLACKBURNCredential: PMHNP-BC; FNP-C

Location Address3709 N LOCUST GROVE RD STE 150Meridian, ID 83646-5924

Mailing Address3709 N Locust Grove Rd Ste 150Meridian, ID 83646-5924 · (208) 208-5430 · Fax (208) 208-5431

Phone(208) 208-5430

Fax(208) 208-5431

Sole ProprietorYes

Enumeration DateNovember 29, 2019

Last NPPES UpdateMay 7, 20266 updates tracked since enumeration

NPPES CertifiedMay 7, 2026

✔ NPI 1811534613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in ID · 65041

Also ListedRegistered NurseTaxonomy 163W00000X · License 47259 (ID)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 65041 (ID)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 65041 (ID)

3709 N LOCUST GROVE RD STE 150, Meridian, ID 83646

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Other Names 1

Former Name (1)Ms. Samantha D'ann Fundingsland Pmhnp-bc; Fnp-c

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

ⓘ

Opted out of Medicare

Mrs. Samantha D'ann Blackburn Pmhnp-bc; Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 20, 2026 through May 20, 2028.

Opt-Out Effective DateMay 20, 2026

Opt-Out In Effect ThroughMay 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83646 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 4

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

SERENITY SPRINGS WELLNESS, PLLC

Nurse Practitioner (Psychiatric/Mental Health)

3709 N LOCUST GROVE RD STE 150
MERIDIAN, ID 83646

Ada County (208) 208-5430

MS. PHYLLIS ROSE NODLER LCPC

Counselor (Mental Health)

3709 N LOCUST GROVE RD STE 150
MERIDIAN, ID 83646

Ada County (208) 577-7634

AUTHENTIC BEGINNINGS PC

Marriage & Family Therapist

3709 N LOCUST GROVE RD STE 150
MERIDIAN, ID 83646

Ada County (805) 657-0009

SSF PSYCHOLOGICAL SERVICES PLLC

Psychologist

3709 N LOCUST GROVE RD STE 150
MERIDIAN, ID 83646

Ada County (208) 475-4690

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 Samantha Blackburn's NPI number?

The NPI number for Samantha Blackburn is 1811534613. It was assigned to this individual provider in the NPPES registry on November 29, 2019. The provider is also known as Ms. Samantha D'ann Fundingsland Pmhnp-Bc; Fnp-C.

Where is Samantha Blackburn located?

Samantha Blackburn practices at 3709 N Locust Grove Rd Ste 150, Meridian, ID 83646. The listed phone number is (208) 208-5430.

What is Samantha Blackburn's specialty?

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

Is Samantha Blackburn enrolled in Medicare?

No. Samantha Blackburn has opted out of Medicare through May 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Samantha Blackburn accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Samantha Blackburn 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 Samantha Blackburn was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.