Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Gustin Ross Blad, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1982979936

Mr. Gustin Ross Blad, FNP-BC is a Nurse Practitioner in Pocatello, Idaho. Qualified in 2011, 15 years ago. Practices with Pocatello Health Services LLC, a 178-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
15
Licensed in
ID
In the registry since
2012
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

777 Hospital Way
Pocatello, ID 83201-5175
Phone: (208) 239-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP-1143A (ID)

Record details

NPI number1982979936
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedMarch 8, 2012
Last updated in NPPESMarch 8, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Pocatello Health Services Llc — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pocatello