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

Brooke Brown, APRN-CNP

Individual provider Psychiatry Physician · NPI 1114727161

Brooke Brown, APRN-CNP is a Nurse Practitioner in Blackfoot, Idaho. Qualified in 2024, 2 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
2
Licensed in
ID
In the registry since
2025
Specialties on file
2

Practice location Address checks out

370 N Meridian St Ste A
Blackfoot, ID 83221-1625
Phone: (208) 851-4315
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Clinical Nurse Specialist (primary) Taxonomy 364SP0808X · Licence 5271857 (ID)
Psychiatry Physician Taxonomy 2084P0800X · Licence 5271857 (ID)

Record details

NPI number1114727161
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNP
Sole proprietorYes
NPI enumeratedMarch 18, 2025
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing address370 N Meridian St Ste A, Blackfoot, ID 83221-1625

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Blackfoot