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BRENDA LYNN BOURN RD
NPI 1477728178
Dietitian, Registered in Boise, ID

Active since April 24, 2008Accepts Medicare Assignment
1226 W RIVER ST, BOISE, ID 83702(208) 331-1155(208) 383-0190 Get Directions Write a Review

NPPES record last updated: August 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brenda Lynn Bourn Rd NPPES

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

BRENDA LYNN BOURN RD (NPI 1477728178) is an individual dietitian, registered in Boise, Idaho, licensed in Idaho (D-742) and active in the NPI registry since April 2008. She is a graduate of Other (2001).

NPPES Registry Identity

NPI1477728178
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameBRENDA LYNN BOURNCredential: RD
Location Address1226 W RIVER STBoise, ID 83702-7049
Mailing AddressPo Box 95461Cleveland, OH 44101-0033 · (928) 669-3353 · Fax (928) 669-3131
Phone(208) 331-1155
Fax(208) 383-0190
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateApril 24, 2008
Last NPPES UpdateAugust 31, 2025
NPPES CertifiedAugust 31, 2025
✔ NPI 1477728178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed in ID · D-742✔ Licensed in AZ · 00864302✔ Licensed in NM · 00777
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1226 W RIVER ST, Boise, ID 83702
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Other Names 1

Former Name (1)Brenda Lynn Steinocker

Other Identifiers 1

Medicaid1477728178ID

Accepted Insurance

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

Brenda Lynn Bourn Rd 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 ID3274429238
PECOS Enrollment IDI20040225001187

Medicare Billing Reassignments

3

Medicare enrollment records show Brenda Bourn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Irene Benn Medical Center
486 mi
Clinic/Center
10 LINCOLN ST
Moapa, NV 89025
  • Reassigned Medicare billing, Texas enrollment
  • 143 clinicians in this Medicare group
NPI 1841535317 (775) 784-5327
Dhhs Ihs Phoenix
543 mi
Clinic/Center
1 MAIN ST
Supai, AZ 86435
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Dhhs Ihs Phoenix Area
  • 210 clinicians in this Medicare group
NPI 1184901829 (928) 448-2641
Dhhs Ihs Phoenix Area
635 mi
Public Health, Federal
1970 PALO VERDE
Havasu Lake, CA 92363
  • Reassigned Medicare billing, Texas enrollment
  • 208 clinicians in this Medicare group
NPI 1396022026 (760) 858-4790

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 83702 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
$0.00 typical visit price
range $52.44 – $160.17
Typical copayment $0.00 (range $13.11 – $40.04)
Most-billed visit code NA
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.

ST LUKES REGIONAL MEDICAL CENTER
Registered Nurse (Diabetes Educator)
1226 W RIVER ST
BOISE, ID 83702
Ada County (208) 331-1155
MS. JULIE MARIE MEEK LCSW
Social Worker (Clinical)
1226 W RIVER ST
BOISE, ID 83702
Ada County (208) 331-1155
DANIEL RICHARD LEFLER PA
Physician Assistant
1226 W RIVER ST
BOISE, ID 83702
Ada County (208) 331-1155
CARLA DOROTHY PLADSEN RN
Registered Nurse
1226 W RIVER ST
BOISE, ID 83702
Ada County (208) 331-1155
MRS. WHITNEY BLANCHARD CONRAD ARNP
Nurse Practitioner (Adult Health)
1226 W RIVER ST
BOISE, ID 83702
Ada County (208) 331-1155
KRISTIN MARIE BROWN RN
Registered Nurse (Diabetes Educator)
1226 W RIVER ST
BOISE, ID 83702
Ada County (208) 331-1155
MS. MARY FIELD LCSW
Social Worker (Clinical)
1226 W RIVER ST
BOISE, ID 83702
Ada County (208) 331-1155
JOAN THERESE SCHMIDT RN
Registered Nurse
1226 W RIVER ST
BOISE, ID 83702
Ada County (208) 331-1155

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 Brenda Bourn's NPI number?

The NPI number for Brenda Bourn is 1477728178. It was assigned to this individual provider in the NPPES registry on April 24, 2008. The provider is also known as Brenda Lynn Steinocker.

Where is Brenda Bourn located?

Brenda Bourn practices at 1226 W River St, Boise, ID 83702. The listed phone number is (208) 331-1155.

What is Brenda Bourn's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Brenda Bourn enrolled in Medicare?

Yes. Brenda Bourn 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.

Which organizations bill Medicare for Brenda Bourn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenda Bourn reassigns Medicare benefits to 3 organizations: Irene Benn Medical Center (Moapa, NV), Dhhs Ihs Phoenix (Supai, AZ) and Dhhs Ihs Phoenix Area (Havasu Lake, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brenda Bourn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brenda Bourn accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Brenda Bourn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brenda Bourn was last updated on August 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.