HANNAH ELISABETH UNDERDAHL RN, MSN, CNM, WHNP
NPI 1073952016
Advanced Practice Midwife in Boise, ID

Q: What is Hannah Underdahl's NPI number?

The NPI number for Hannah Underdahl is 1073952016. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Q: What is Hannah Underdahl's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Hannah Underdahl was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 24, 2013PECOS EnrolledAccepts Medicare Assignment

6565 W EMERALD ST, BOISE, ID 83704(208) 514-2510(208) 375-2217 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 15, 2023, Aug 31, 2016 (2 updates tracked since 2016).

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About Hannah Elisabeth Underdahl Rn, Msn, Cnm, Whnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HANNAH ELISABETH UNDERDAHL RN, MSN, CNM, WHNP (NPI 1073952016) is an individual advanced practice midwife in Boise, Idaho, licensed in Idaho (CNM69A) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1073952016

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameHANNAH ELISABETH UNDERDAHLCredential: RN, MSN, CNM, WHNP

Location Address6565 W EMERALD STBoise, ID 83704-8737

Mailing Address777 N Raymond StBoise, ID 83704-9251 · (208) 514-2500 · Fax (208) 375-2217

Phone(208) 514-2510

Fax(208) 375-2217

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 24, 2013

Last NPPES UpdateDecember 15, 20232 updates tracked since enumeration

NPPES CertifiedDecember 15, 2023

✔ NPI 1073952016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in ID · CNM69A

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License NP1323A (ID)

6565 W EMERALD ST, Boise, ID 83704

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Other Identifiers 1

Medicaid1073952016ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hannah Elisabeth Underdahl Rn, Msn, Cnm, Whnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537450713

PECOS Enrollment IDI20160617001236

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Hannah Underdahl reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Full Circle Health, Inc.

0.1 mi

Federally Qualified Health Center (FQHC)

777 N RAYMOND ST
Boise, ID 83704

Reassigned Medicare billing, Idaho enrollment
152 clinicians in this Medicare group

NPI 1841490075 (208) 514-2500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA L SLICHTER

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