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NURUDEEN IBRAHIM NP
NPI 1417655713
Nurse Practitioner - Gerontology in Boise, ID

Active since February 16, 2023PECOS EnrolledAccepts Medicare Assignment
999 N CURTIS RD STE 415, BOISE, ID 83706(208) 302-2600(208) 302-2625 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2023, Feb 16, 2023 (2 updates tracked since 2023).

About Nurudeen Ibrahim Np NPPES

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

NURUDEEN IBRAHIM NP (NPI 1417655713) is an individual gerontology provider in Boise, Idaho, licensed in Idaho (75389) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, is affiliated with Saint Alphonsus Regional Medical Center, and maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1417655713
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameNURUDEEN IBRAHIMCredential: NP
Location Address999 N CURTIS RD STE 415Boise, ID 83706-1334
Mailing AddressPo Box 190930Boise, ID 83719-0930 · (208) 367-5170 · Fax (208) 367-5180
Phone(208) 302-2600
Fax(208) 302-2625
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 16, 2023
Last NPPES UpdateJune 2, 20232 updates tracked since enumeration
NPPES CertifiedJune 2, 2023
✔ NPI 1417655713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in ID · 75389
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 75389 (ID)
999 N CURTIS RD STE 415, Boise, ID 83706
Open in Google Maps ↗

Secondary Practice Location 1

Location 1133 S Baraya WayMeridian, ID 83642-5408 · Phone (208) 867-6801

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

Nurudeen Ibrahim Np 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 ID6204293988
PECOS Enrollment IDI20230612002192
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

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

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83706 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 20

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

KAYDON J LLOYD PA-C
Physician Assistant
999 N CURTIS RD STE 415
BOISE, ID 83706
Ada County (208) 302-2600
COURTNEY ALYSON GREEN M.D.
Surgery (Surgical Critical Care)
999 N CURTIS RD STE 415
BOISE, ID 83706
Ada County (208) 302-2600
DR. APRIL ANN GRANT MD
Surgery
999 N CURTIS RD STE 415
BOISE, ID 83706
Ada County (208) 302-2600
DANIEL RIVERA DO
Surgery
999 N CURTIS RD STE 415
BOISE, ID 83706
Ada County (208) 302-2600
MARY HORTON RN
Nurse Practitioner (Acute Care)
999 N CURTIS RD STE 415
BOISE, ID 83706
Ada County (208) 302-2600
JOANNA DARAKJY APRN FNP-C
Nurse Practitioner (Family)
999 N CURTIS RD STE 415
BOISE, ID 83706
Ada County (208) 302-2600
DR. KAHDI F UDOBI MD
Surgery (Surgical Critical Care)
999 N CURTIS RD STE 415
BOISE, ID 83706
Ada County (208) 302-2600
DR. ETHAN ALEXANDER TAUB D.O.
Surgery
999 N CURTIS RD STE 415
BOISE, ID 83706
Ada County (208) 302-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nurudeen Ibrahim's NPI number?

The NPI number for Nurudeen Ibrahim is 1417655713. It was assigned to this individual provider in the NPPES registry on February 16, 2023.

Where is Nurudeen Ibrahim located?

Nurudeen Ibrahim practices at 999 N Curtis Rd Ste 415, Boise, ID 83706. The listed phone number is (208) 302-2600.

What is Nurudeen Ibrahim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nurudeen Ibrahim enrolled in Medicare?

Yes. Nurudeen Ibrahim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nurudeen Ibrahim affiliated with any hospitals?

According to CMS data, Nurudeen Ibrahim is affiliated with Saint Alphonsus Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nurudeen Ibrahim was last updated on June 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.