Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake McDonald, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1396379475

Blake McDonald, PMHNP is a Nurse Practitioner in Caldwell, Idaho. Qualified in 2019, 7 years ago. Practices with West Valley Medical Group LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2020
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1906 Fairview Ave Ste 220
Caldwell, ID 83605-5432
Phone: (208) 795-5072
Fax: (208) 402-0068
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 63996 (ID)

Record details

NPI number1396379475
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedFebruary 27, 2020
Last updated in NPPESApril 21, 2020
Certification dateApril 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice West Valley Medical Group Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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