MRS. BEVERLEY ANN BLAKE ODOHERTY CFNP
NPI 1821166539
Nurse Practitioner - Family in Twin Falls, ID

Q: What is Beverley Blake Odoherty's NPI number?

The NPI number for Beverley Blake Odoherty is 1821166539. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Q: What is Beverley Blake Odoherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since December 01, 2006PECOS EnrolledAccepts Medicare Assignment

801 POLE LINE RD W, TWIN FALLS, ID 83301(208) 814-4100(208) 814-4908 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Beverley Ann Blake Odoherty Cfnp NPPES

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

MRS. BEVERLEY ANN BLAKE ODOHERTY CFNP (NPI 1821166539) is an individual family provider in Twin Falls, Idaho, licensed in Idaho (NP925A) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Mckenzie-willamette Medical Center, and maintains a secondary practice location in Pocatello.

NPPES Registry Identity

NPI1821166539

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. BEVERLEY ANN BLAKE ODOHERTYCredential: CFNP

Location Address801 POLE LINE RD WTwin Falls, ID 83301-5810

Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-8752

Phone(208) 814-4100

Fax(208) 814-4908

Sole ProprietorYes

Medical School CMSOtherGraduated 1996

Enumeration DateDecember 1, 2006

Last NPPES UpdateSeptember 9, 2024

NPPES CertifiedSeptember 9, 2024

✔ NPI 1821166539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · NP925A

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN172038 (CO)

801 POLE LINE RD W, Twin Falls, ID 83301

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Secondary Practice Location 1

Location 1777 Hospital WayPocatello, ID 83201-5175 · Phone (208) 239-1000

Other Identifiers 1

Medicaid16301862CO

Accepted Insurance

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

Mrs. Beverley Ann Blake Odoherty Cfnp 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 ID3577514207

PECOS Enrollment IDI20191202001316, I20260304003913

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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

85 services83 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

24 services24 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

24 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Mckenzie-Willamette Medical Center

Acute Care Hospitals · Springfield, OR

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380020

Location1460 G StreetSpringfield, OR 97477 · Lane County

Emergency services Birthing friendly

Uniontown Hospital

Acute Care Hospitals · Uniontown, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390041

Location500 West Berkeley StreetUniontown, PA 15401 · Fayette County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83301 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers12 claims12 services$8.68 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. CHET DANSIE CRNA

Nurse Anesthetist, Certified Registered