P Praxis·MD
● Active Type 1 · Individual

Nicholas Blickenstaff, M.D., M.S.

Dermatology·Boise, ID· NPI 1437544582 · Enumerated 2015 · 11 years on NPI
Blickenstaff is 1 of 23 dermatology providers in Boise and 1 of 102 in Idaho.
NPI age
11 years
Enumerated 2015-04-04
Primary specialty
Dermatology
Plus 1 subspecialty
Licensed in
ID, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-04-25
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 102 active dermatology providers in Idaho.

NPI age
11 years
↓ 7 yr below median (18 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-04Enumerated in NPPES
2015 2026

Where they practice

Practice location
6454 W Emerald St
Boise, ID 837048734
📞 2083770820fax 2083758046
Mailing address
7123 W Archer Ave
Chicago, IL 606382203
📞 7086344602fax 6304951770

Additional practice locations

1 secondary location on file with NPPES.

Location 2
13176 W Persimmon Ln
Boise, ID 837135063
📞 2089398640fax 2089391892

Specialties

  • Dermatology Primary
    A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The...
    ID license #M15699IL license #036.150002 taxonomy 207N00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new dermatology provider has been added in Boise in the last 180 days. See all →
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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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