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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since January 12, 2026PECOS Enrolled
4971 W OVERLAND RD, BOISE, ID 83705(208) 472-5050(208) 472-5051 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 19, 2026, Mar 11, 2026, Jan 12, 2026 (3 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 nurse practitioner in Boise, Idaho, licensed in Idaho (7871063) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1588522189
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDR. RYAN NATHANIEL BOPPCredential: NP-C
Location Address4971 W OVERLAND RDBoise, ID 83705-2822
Mailing AddressPo Box 191050Boise, ID 83719-1050 · (208) 955-6500 · Fax (208) 955-6501
Phone(208) 472-5050
Fax(208) 472-5051
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 12, 2026
Last NPPES UpdateAugust 19, 20263 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1588522189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ID · 7871063
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 7871063 (ID)
4971 W OVERLAND RD, Boise, ID 83705
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Secondary Practice Locations 2

Location 15633 N Lidgerwood StSpokane, WA 99208-1224 · Phone (509) 482-0111
Location 2510 N 2nd St Ste 103Boise, ID 83702-6081 · Phone (208) 381-4700 · Fax (208) 381-4977

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 83705 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 4

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

DR. SCOTT D THOMAS M.D.
Family Medicine
4971 W OVERLAND RD
BOISE, ID 83705
Ada County (208) 472-5050
THOR HAUFF FNP-C
Nurse Practitioner (Family)
4971 W OVERLAND RD
BOISE, ID 83705
Ada County (208) 472-5050
PAUL PHAIL D.O.
Family Medicine
4971 W OVERLAND RD
BOISE, ID 83705
Ada County (208) 378-4288
MR. JAYSON PAUL SMITH N.P.
Nurse Practitioner (Family)
4971 W OVERLAND RD
BOISE, ID 83705
Ada County (208) 472-5050

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 4971 W Overland Rd, Boise, ID 83705. The listed phone number is (208) 472-5050.

What is Ryan Bopp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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 August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.