Ada Dermatology, P.A.
NPI 1952483299 · Procedural Dermatology Physician · Boise, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ada Dermatology, P.A. is a Procedural Dermatology Physician organization in Boise, ID (NPI 1952483299).
Provider details
- NPI number
- 1952483299
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Blickenstaff, President(208) 377-0820
- License
- M-5274 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-19
- Last updated
- 2012-01-30
Frequently asked questions
- What is Ada Dermatology, P.A.'s NPI number?
- Ada Dermatology, P.A.'s National Provider Identifier (NPI) is 1952483299, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ada Dermatology, P.A.?
- Ada Dermatology, P.A. is classified in the NPPES registry as Procedural Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Ada Dermatology, P.A. located?
- Ada Dermatology, P.A.'s practice location on file with NPPES is 6454 W Emerald Street, Boise, ID 83704-8734.
- What is Ada Dermatology, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Ada Dermatology, P.A. is (208) 377-0820.
- Does Ada Dermatology, P.A. accept Medicare?
- Ada Dermatology, P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ada Dermatology, P.A.?
- The authorized official listed on Ada Dermatology, P.A.'s NPPES record is Richard Blickenstaff, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ada Dermatology, P.A.'s NPI active?
- Yes — Ada Dermatology, P.A.'s NPI (1952483299) is active in the NPPES registry as of the last update on 2012-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.