Individual provider Active NPI

Melanie Jo Drake, MD

  • Psychiatry Physician
  • Boise, ID
National Provider Identifier
1801236575
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
M-15195 Issued in ID
Practice address
3350 W Americana Ter Ste 360C
Boise, ID 83706-2521
Phone
(208) 722-0899
Fax
(208) 205-8031
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X M-15195 ID Primary

Addresses

Primary practice location

3350 W Americana Ter Ste 360C
Boise, ID 83706-2521

Mailing address

1116 S Vista Ave, PMB 235
Boise, ID 83705
Phone (208) 722-0899

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210322002229 ID Practitioner - Psychiatry 6507157617 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-15195IDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie Jo Drake MD PLLC Psychiatry CurrentSince Sep 15, 2024 Accepting new patients
Full Circle Health, Inc. CurrentSince Apr 1, 2023 Accepting new patients

Locations

777 N Raymond St
Boise, ID 83704
Phone (208) 367-6030

3350 W Americana Ter
Ste 360C
Boise, ID 83706
Phone (208) 722-0899

1116 S Vista Ave
Boise, ID 83705

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1801236575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 S VISTA AVE, PMB 235",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83705",
            "telephone_number": "208-722-0899",
            "fax_number": "208-205-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 W AMERICANA TER STE 360C",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062521",
            "telephone_number": "208-722-0899",
            "fax_number": "208-205-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "MELANIE",
        "middle_name": "JO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "M-15195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.