1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Social Worker
  6. NPI Profile

DEANNA BOYADJYAN NIBBS
NPI 1619378676
Social Worker - Clinical in Boise, ID

Active since September 09, 2014PECOS EnrolledAccepts Medicare Assignment
4750 N FIVE MILE RD STE 100, BOISE, ID 83713(888) 949-4864 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2025, Aug 25, 2016 (2 updates tracked since 2016).

About Deanna Boyadjyan Nibbs NPPES

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

DEANNA BOYADJYAN NIBBS (NPI 1619378676) is an individual clinical provider in Boise, Idaho, licensed in Utah (LCSW-41181) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619378676
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEANNA BOYADJYAN NIBBS
Location Address4750 N FIVE MILE RD STE 100Boise, ID 83713-2715
Mailing Address3737 W 4100 SWest Valley City, UT 84120-5543
Phone(888) 949-4864
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 9, 2014
Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1619378676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · LCSW-41181
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
4750 N FIVE MILE RD STE 100, Boise, ID 83713
Open in Google Maps ↗

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

Deanna Boyadjyan Nibbs 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 ID5597922294
PECOS Enrollment IDI20251120004367
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 83713 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
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Deanna Nibbs's NPI number?

The NPI number for Deanna Nibbs is 1619378676. It was assigned to this individual provider in the NPPES registry on September 9, 2014.

Where is Deanna Nibbs located?

Deanna Nibbs practices at 4750 N Five Mile Rd Ste 100, Boise, ID 83713. The listed phone number is (888) 949-4864.

What is Deanna Nibbs's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Deanna Nibbs enrolled in Medicare?

Yes. Deanna Nibbs 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.

When was this NPI record last updated?

The NPPES record for Deanna Nibbs was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.