Individual provider Active NPI

Brooke Brown, APRN-CNP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Blackfoot, ID
National Provider Identifier
1114727161
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
5271857 Issued in ID
Practice address
370 N Meridian St Ste a
Blackfoot, ID 83221-1625
Phone
(208) 851-4315
NPI assigned
Mar 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5271857 ID
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 5271857 ID Primary

Addresses

Primary practice location

370 N Meridian St Ste a
Blackfoot, ID 83221-1625

Mailing address

370 N Meridian St Ste a
Blackfoot, ID 83221-1625
Phone (208) 851-4315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260506000904 ID Practitioner - Nurse Practitioner 4284122391 Practice locations: Blackfoot, ID

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

370 N Meridian St
Suite a
Blackfoot, ID 83221-1625
Phone (208) 851-4315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5271857IDMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges of Hope Psychiatry Psychiatry CurrentSince Jun 1, 2025 Accepting new patients
In Focus Mental Health PLLC Psychiatry Past Accepting new patients

Locations

360 W Judicial St
Blackfoot, ID 83221

370 N Meridian St
#A
Blackfoot, ID 83221
Phone (208) 851-4315

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1114727161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 N MERIDIAN ST STE A",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211625",
            "telephone_number": "208-851-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 N MERIDIAN ST STE A",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832211625",
            "telephone_number": "208-851-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BROOKE",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "5271857",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "ID",
            "license": "5271857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackfoot, ID

Sources for this page

Verify at the official NPI Registry.