Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598548463 Individual Practitioner Female Practitioner

Dr. Angela Lynn Blake , DNP

Nurse Practitioner • Rathdrum, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Angela Blake, DNP is a certified Nurse Practitioner practicing in Rathdrum, ID. With approximately 3 years of clinical experience since completing medical education in 2023, Dr. Blake delivers high-quality medical care to the local community at 16760 N HIGHWAY 41.

Dr. Blake is affiliated with Dirne Health Centers, Inc. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

16760 N Highway 41

Rathdrum, ID 838588715

Telephone 2086875627
Associated Practice Facility / Clinic
🏢 Dirne Health Centers, Inc. Facility NPI 1760736334

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Rathdrum, ID

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -4.0 yrs vs City Avg
City Avg: 7.0 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
2 Specialists

Practicing in Rathdrum, ID (602 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blake (3 Years) 3 Yrs
Rathdrum Specialty Average (7.0 Years) 7.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-12-19
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License ID 747465

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License ID 747465

Definition to come...

Hospital & Practice Group Affiliations

Dirne Health Centers, Inc.

1090 W Park Pl, Coeur D Alene, ID 838142785

Phone: 2082920290

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Samantha Hooper

Physician Assistant

NPI 1033933536
Kathryn Walker , NP-C

Nurse Practitioner

NPI 1255703559

Nurse Practitioner (Certified)

Sonja Enger

Social Worker - Clinical

NPI 1770957938
Dean Sparks , PA-C

Physician Assistant - Medical

NPI 1952312217

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 19, 2024

Registered at 16760 N HIGHWAY 41, RATHDRUM, ID 838588715 (Tel: 2086875627)

📍
Updated Business Mailing Address December 19, 2024

Registered at PO BOX 1387, HAYDEN, ID 838351387 (Tel: 2084150299)

NPI Profile Active August 23, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2023

Registered at 1090 W PARK PL, COEUR D ALENE, ID 838142785 (Tel: 2082152005)

📍
Updated Business Mailing Address August 23, 2023

Registered at 4613 WIRTH DR, COEUR D ALENE, ID 838155223 (Tel: 2089641460)

👤
Provider Name / Credentials Updated August 23, 2023

Recorded as ANGELA BLAKE, DNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2023

Nurse Practitioner (License #747465 in ID)

🟢
Initial NPI Registration & Enumeration August 15, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598548463
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2023
Last Update: December 19, 2024
Sole Proprietor: No

Mailing Address

Po Box 1387

Hayden, ID 838351387

Phone: 2084150299

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.