ANNA BLONQUIST (NP-C) – Psychiatric/Mental Health Nurse Practitioner, NPI 1922641968
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
Provider Addresses for ANNA BLONQUIST (NP-C)
2995 N Cole Rd Ste 225
Boise, ID 837045966
Phone: (208) 715-6709
Fax: (208) 274-9695
Type: Location
343 E 4th N Ste 233
Rexburg, ID 834406009
Phone: (208) 715-6709
Fax: (208) 274-9695
Type: Location
338 W 300 N Ste 1
Hyde Park, UT 843184044
Phone: (435) 774-4113
Fax: (435) 535-3197
Type: Location
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Fulton County, Georgia, 30308, United States
ATLANTA, GA 303742358
Phone:
Type: Mailing
Eastern Idaho Regional Medical Center - Behavioral Health Center, 2280, East 25th Street, Idaho Falls, Bonneville County, Idaho, 83404, United States
IDAHO FALLS, ID 834047542
Phone: (208) 227-2100
Fax: (208) 227-2362
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $144.
Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Neuronetics, Inc. ($75).
Total Amount
$144
General + Research + Ownership
Payments
3
Total payment records
General Amount
$144
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neuronetics, Inc. | $75 |
| Otsuka America Pharmaceutical, Inc. | $69 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-02-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200206001206 | I | Nurse Practitioner | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83704)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Nurse Practitioner | ID | |
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| P S Y C H I A T R Y | GA | |
| Psychiatry, Pediatric Medicine | CO | |
| P S Y C H I A T R Y | ID |
Reviews
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