Active NPI
Brooke Brown, APRN-CNP
- Psychiatric/Mental Health Clinical Nurse Specialist
- Blackfoot, ID
National Provider Identifier
1114727161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 5271857
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5271857 | ID | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridges of Hope Psychiatry | Psychiatry | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.