P Praxis·MD
● Active Type 1 · Individual

Blake McDonald, PMHNP

Nurse Practitioner·Caldwell, ID· NPI 1396379475 · Enumerated 2020 · 6 years on NPI
McDonald is 1 of 10 nurse practitioner providers in Caldwell and 1 of 374 in Idaho.
NPI age
6 years
Enumerated 2020-02-27
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-04-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 374 active nurse practitioner providers in Idaho.

NPI age
6 years
↑ 2 yr above median (4 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-02Enumerated in NPPES
2020 2026

Where they practice

Practice location
1906 Fairview Ave Ste 220
Caldwell, ID 836055432
📞 2087955072fax 2084020068
Mailing address
Po Box 277976
Atlanta, GA 303847976

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #63996 taxonomy 363LP0808X

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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