NPI age
10 years
Enumerated 2016-05-13
● Active
Type 1 · Individual
Mitchell Eric Blume, PA-C, RD, CDE
Blume is 1 of 36 physician assistant providers in Boise and 1 of 97 in Idaho.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-06-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 97 active physician assistant providers in Idaho.
NPI age
10 years
↓ 3 yr below median (13 yr)
State licenses
2 states
Top 76% — 23% of peers are multi-state
Subspecialties
0
56% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-05Enumerated in NPPES
2016
2026
Where they practice
Practice location
190 E Bannock St
Boise, ID 837126241
Mailing address
190 E Bannock St
Boise, ID 837126241
Additional practice locations
1 secondary location on file with NPPES.
Location 2
750 N Syringa St Ste 205
Post Falls, ID 838545275
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1710334248 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 671 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 97 Physician Assistant providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.