Individual provider Active NPI

Cassidy Govan Blanchard, PA-C

  • Physician Assistant
  • Boise, ID
National Provider Identifier
1598492175
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5361377 Issued in ID
Practice address
707 N Armstrong PL
Boise, ID 83704-0825
Phone
(208) 375-5211
NPI assigned
Aug 4, 2022
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5361377 ID Primary

Addresses

Primary practice location

707 N Armstrong PL
Boise, ID 83704-0825

Mailing address

707 N Armstrong PL
Boise, ID 83704-0825
Phone (208) 375-5211

Other practice location 1

2607 Medical Office Pl
Goldsboro, NC 27534-9428
Phone (919) 739-9060

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cblanchard768399@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260505000334 NC Practitioner - Physician Assistant 6507334919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

2607 Medical Office PL
Suite a
Goldsboro, NC 27534-9437
Phone (919) 739-9060

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5361377IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health District IV CurrentSince Dec 1, 2024 Accepting new patients

Locations

707 N Armstrong Pl
Boise, ID 83704
Phone (208) 327-7400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1598492175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 N ARMSTRONG PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837040825",
            "telephone_number": "208-375-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N ARMSTRONG PL",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837040825",
            "telephone_number": "208-375-5211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2607 Medical Office Pl",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275349428",
            "country_code": "US",
            "telephone_number": "919-739-9060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLANCHARD",
        "first_name": "CASSIDY",
        "middle_name": "GOVAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "5361377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cblanchard768399@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2607 Medical Office Pl",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.