NISMA IBRAHIM MSN, FNP-C
NPI 1710875257
Nurse Practitioner - Family in Renton, WA

Active since June 24, 2025PECOS EnrolledAccepts Medicare Assignment
2101 SW SUNSET BLVD APT E401, RENTON, WA 98057(714) 483-2104 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2025, Jun 24, 2025 (2 updates tracked since 2025).

About Nisma Ibrahim Msn, Fnp-c NPPES

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

NISMA IBRAHIM MSN, FNP-C (NPI 1710875257) is an individual family provider in Renton, Washington, licensed in Washington (AP70033558) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1710875257
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNISMA IBRAHIMCredential: MSN, FNP-C
Location Address2101 SW SUNSET BLVD APT E401Renton, WA 98057-6140
Mailing Address2101 Sw Sunset Blvd Apt E401Renton, WA 98057-6140 · (714) 483-2104
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 24, 2025
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1710875257 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 WA · AP70033558
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95189029 (CA), RN61543424 (WA)
2101 SW SUNSET BLVD APT E401, Renton, WA 98057

Accepted 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

Nisma Ibrahim Msn, Fnp-c 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 ID9739672825
PECOS Enrollment IDI20251205004043
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nisma Ibrahim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
6824 19TH ST W # 256
University Place, WA 98466
  • Reassigned Medicare billing, Washington enrollment
  • 38 clinicians in this Medicare group
Urgent Care
10221 156TH ST E STE P1-102
Puyallup, WA 98374
  • Reassigned Medicare billing, Washington enrollment
  • 14 clinicians in this Medicare group

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 98057 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

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 Nisma Ibrahim's NPI number?

The NPI number for Nisma Ibrahim is 1710875257. It was assigned to this individual provider in the NPPES registry on June 24, 2025.

Where is Nisma Ibrahim located?

Nisma Ibrahim practices at 2101 SW Sunset Blvd Apt E401, Renton, WA 98057. The listed phone number is (714) 483-2104.

What is Nisma Ibrahim's specialty?

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

Is Nisma Ibrahim enrolled in Medicare?

Yes. Nisma Ibrahim 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 Nisma Ibrahim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nisma Ibrahim reassigns Medicare benefits to 2 organizations: F & m Healthcare, LLC (University Place, WA) and Carbon Health Medical Group Of Washington PC (Puyallup, WA). 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 Nisma Ibrahim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nisma Ibrahim accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nisma Ibrahim 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 Nisma Ibrahim was last updated on September 16, 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.