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

Carolyn Blasch, NURSEPRACTITIONER

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1992154538

Carolyn Blasch, NURSEPRACTITIONER is a Nurse Practitioner in Boise, Idaho. Graduated from University of Cincinnati College of Medicine in 2024, 2 years ago. Practices with Idaho Physical Medicine and Rehabilitation PA, a 10-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
2
Trained at
University of Cincinnati College of Medicine
Licensed in
ID
In the registry since
2016
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Practice location Address checks out

161 E Mallard Dr Ste 120
Boise, ID 83706-5015
Phone: (208) 884-1333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3551 E Overland Rd, Meridian, ID 83642-6757 — (208) 884-1333

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 8471548 (ID)

Record details

NPI number1992154538
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJune 5, 2016
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Idaho Physical Medicine And Rehabilitation Pa — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Boise