DR. RYAN NATHANIEL BOPP NP-C
NPI 1588522189
Nurse Practitioner - Family in Boise, ID

Active since January 12, 2026PECOS Enrolled
510 N 2ND ST STE 103, BOISE, ID 83702(208) 381-4700(208) 381-4977 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2026, Jan 12, 2026 (2 updates tracked since 2026).

About Dr. Ryan Nathaniel Bopp Np-c NPPES

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

DR. RYAN NATHANIEL BOPP NP-C (NPI 1588522189) is an individual family provider in Boise, Idaho, licensed in Idaho (7871063) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS, maintains a secondary practice location in Spokane, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1588522189
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. RYAN NATHANIEL BOPPCredential: NP-C
Location Address510 N 2ND ST STE 103Boise, ID 83702-6081
Mailing Address190 E Bannock StBoise, ID 83712-6241
Fax(208) 381-4977
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 12, 2026
Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
NPI 1588522189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ID · 7871063
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 7871063 (ID)
510 N 2ND ST STE 103, Boise, ID 83702

Secondary Practice Location 1

Location 15633 N Lidgerwood StSpokane, WA 99208-1224 · Phone (509) 482-0111

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ryan Nathaniel Bopp Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284119470
PECOS Enrollment IDI20260325003481
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.

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
$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 3

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

Urology
510 N 2ND ST STE 103
BOISE, ID 83702
Nurse Practitioner (Family)
510 N 2ND ST STE 103
BOISE, ID 83702
Physician Assistant
510 N 2ND ST STE 103
BOISE, ID 83702

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 Ryan Bopp's NPI number?

The NPI number for Ryan Bopp is 1588522189. It was assigned to this individual provider in the NPPES registry on January 12, 2026.

Where is Ryan Bopp located?

Ryan Bopp practices at 510 N 2nd St Ste 103, Boise, ID 83702. The listed phone number is (208) 381-4700.

What is Ryan Bopp's specialty?

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

Is Ryan Bopp enrolled in Medicare?

Yes. Ryan Bopp is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Bopp was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.