Anna Blonquist, NP-C
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Idaho Falls, ID
NPI 1922641968 · NPPES record last updated Feb 6, 2026
Key facts
- NPI
- 1922641968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 25763 (ID)
- Practice address
- 2280 E 25TH St
Idaho Falls, ID 83404-7542 - Phone
- (208) 227-2100
- Fax
- (208) 227-2362
- NPI assigned
- Oct 22, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200206001206 | ID | Practitioner - Nurse Practitioner | 1254767429 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Idaho Behavioral Health Services, LLC | Psychiatry | Current |
Accepting new patients |
| Yellow Daisy, PLLC | Psychiatry | Past |
Accepting new patients |
Locations
2280 E 25th St
Idaho Falls, ID 83404
Phone (208) 227-2100
3100 Channing Way
Idaho Falls, ID 83404
Phone (208) 227-2100
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- anna.blonquist@hca3.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 25763 | ID | Yes |
Addresses
Primary practice location
2280 E 25TH St
Idaho Falls, ID 83404-7542
Mailing address
PO Box 742358
Atlanta, GA 30374-2358
Other practice location 1
2995 N Cole Rd Ste 225
Boise, ID 83704-5966
Phone (208) 715-6709
Other practice location 2
343 E 4th N Ste 233
Rexburg, ID 83440-6009
Phone (208) 715-6709
Other practice location 3
338 W 300 N Ste 1
Hyde Park, UT 84318-4044
Phone (435) 774-4113
Other providers in Idaho Falls, ID
- Scott M Blake
- Leslee Elyse Blanch
- Lesli Blanchard
- Douglas U. Blank
- Richard Alan Blatter
- BMH Inc
- BMH Inc.
- BMH Inc.
- BMH, Inc
- BMH, Inc.
All providers in Idaho Falls, ID · Psychiatric/Mental Health Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.