CAROLYN BLASCH (NURSE PRACTITIONER) – Licensed Practical Nurse, NPI 1992154538
Licensed Practical Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
Provider Addresses for CAROLYN BLASCH (NURSE PRACTITIONER)
3912 SAGE CREEK DR
BOISE, ID 837145502
Phone: (406) 521-0252
Type: Mailing
3551 E Overland Rd
Meridian, ID 836426757
Phone: (208) 884-1333
Type: Location
161 E MALLARD DR STE 120
BOISE, ID 837065015
Phone: (208) 884-1333
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 $150.
Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.
Last reported payment date: 2024-08-08 • Largest payer in this snapshot: HydroCision, Inc. ($135).
Total Amount
$150
General + Research + Ownership
Payments
3
Total payment records
General Amount
$150
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| HydroCision, Inc. | $135 |
| Biogen, Inc. | $15 |
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: 2025-02-26
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 |
|---|---|---|---|---|
| I20250226003485 | 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 83714)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| Physical Medicine And Rehabilitation | IN | |
| Physical Medicine And Rehabilitation | ID | |
| Pain Management | ID | |
| Pain Management | ID | |
| Physical Medicine And Rehabilitation | ID | |
| Physical Medicine And Rehabilitation, Pain Management | OK |
Reviews
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