MRS. LEEANN BOLGEN FNP-C
NPI 1205506995
Nurse Practitioner - Family in American Falls, ID

Q: What is Leeann Bolgen's NPI number?

The NPI number for Leeann Bolgen is 1205506995. It was assigned to this individual provider in the NPPES registry on September 15, 2021.

Q: What is Leeann Bolgen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Leeann Bolgen was last updated on September 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 15, 2021PECOS EnrolledAccepts Medicare Assignment

502 TYHEE AVE, AMERICAN FALLS, ID 83211(208) 221-7777 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Leeann Bolgen Fnp-c NPPES

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

MRS. LEEANN BOLGEN FNP-C (NPI 1205506995) is an individual family provider in American Falls, Idaho, licensed in Idaho (69594) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Portneuf Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (2021).

NPPES Registry Identity

NPI1205506995

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LEEANN BOLGENCredential: FNP-C

Location Address502 TYHEE AVEAmerican Falls, ID 83211-1224

Mailing Address510 Roosevelt StAmerican Falls, ID 83211-1362 · (208) 221-7777

Phone(208) 221-7777

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2021

Enumeration DateSeptember 15, 2021

NPPES CertifiedSeptember 15, 2021

✔ NPI 1205506995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · 69594

502 TYHEE AVE, American Falls, ID 83211

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Leeann Bolgen Fnp-c 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 ID2668860438

PECOS Enrollment IDI20211027002386

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Portneuf Medical Center

Acute Care Hospitals · Pocatello, ID

4/5 CMS rating

OwnershipProprietary

CMS Certification Number130028

Location777 Hospital WayPocatello, ID 83201 · Bannock County

Emergency services Birthing friendly

Power County Hospital District

Critical Access Hospitals · American Falls, ID

OwnershipGovernment - Hospital District or Authority

CMS Certification Number131304

Location510 Roosevelt StreetAmerican Falls, ID 83211 · Power County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83211 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

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

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 5

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

SPENCER GARRETT SEIBOLD D.O.

Family Medicine