DELORES MAYBACH NURSE PRACTITIONER
NPI 1689191140
Nurse Practitioner - Family in Garden City, ID

Q: What is Delores Maybach's NPI number?

The NPI number for Delores Maybach is 1689191140. It was assigned to this individual provider in the NPPES registry on August 25, 2017.

Q: What is Delores Maybach's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Delores Maybach was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since August 25, 2017PECOS EnrolledAccepts Medicare Assignment

5601 W CHINDEN BLVD, GARDEN CITY, ID 83714(208) 809-2865(208) 809-2866 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2021, Apr 25, 2019, Dec 12, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Delores Maybach Nurse Practitioner NPPES

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

DELORES MAYBACH NURSE PRACTITIONER (NPI 1689191140) is an individual family provider in Garden City, Idaho, licensed in Idaho (56562) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689191140

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDELORES MAYBACHCredential: NURSE PRACTITIONER

Location Address5601 W CHINDEN BLVDGarden City, ID 83714-1463

Mailing AddressPo Box 191050Boise, ID 83719-1050 · (208) 955-6500 · Fax (208) 955-6503

Phone(208) 809-2865

Fax(208) 809-2866

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 25, 2017

Last NPPES UpdateAugust 25, 20214 updates tracked since enumeration

NPPES CertifiedAugust 25, 2021

✔ NPI 1689191140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in ID · 56562

5601 W CHINDEN BLVD, Garden City, ID 83714

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Other Identifiers 1

Other56562ID · Aprn License

Accepted Insurance

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

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

Delores Maybach Nurse Practitioner 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 ID2163797085

PECOS Enrollment IDI20171003006282, I20171227002648

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83714 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 5

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

CHRISTOPHER D GUNDERSON PA-C

Physician Assistant