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MR. EVAN TULLIS ANDERSON LCSW
NPI 1780105767
Social Worker - Clinical in Boise, ID

Active since June 29, 2017PECOS Enrolled
300 S 23RD ST, BOISE, ID 83702(208) 344-3512(208) 466-5359 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Evan Tullis Anderson Lcsw NPPES

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

MR. EVAN TULLIS ANDERSON LCSW (NPI 1780105767) is an individual clinical provider in Boise, Idaho, licensed in Idaho (LCSW-42535) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780105767
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. EVAN TULLIS ANDERSONCredential: LCSW
Location Address300 S 23RD STBoise, ID 83702-9100
Mailing AddressPo Box 9Nampa, ID 83653-0009 · (208) 467-4431 · Fax (208) 467-7684
Phone(208) 344-3512
Fax(208) 466-5359
Sole ProprietorNo
Enumeration DateJune 29, 2017
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1780105767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in ID · LCSW-42535✔ Licensed in ID · 34856
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.
300 S 23RD ST, Boise, ID 83702
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12825 S Meridian Rd Ste 150Meridian, ID 83642-7960 · Phone (208) 297-9495 · Fax (208) 955-2490
Location 22216 W Fairview AveBoise, ID 83702-6844 · Phone (208) 721-5070 · Fax (208) 466-5359

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Evan Tullis Anderson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Evan Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health Clinics, Inc.
Same address
Federally Qualified Health Center (FQHC)
300 S 23RD ST
Boise, ID 83702
  • Reassigned Medicare billing, Idaho enrollment
  • 71 clinicians in this Medicare group
NPI 1588678361 (208) 344-3512
Lifeways, Inc
47 mi
Community/Behavioral Health
702 SUNSET DR
Ontario, OR 97914
  • Reassigned Medicare billing, Idaho enrollment
  • 23 clinicians in this Medicare group
NPI 1568558955 (541) 889-9167

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 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
$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.

Other Providers at the Same Location NPPES 20

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

JOSEPH P DIGRAZIA LCPC
Counselor
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
MARY GOODSPEED PMHNP
Nurse Practitioner
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
MATTHEW WILSON MD
Family Medicine
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
KENDRA M LUTES LCPC
Counselor
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 345-1170
MELISSA ANN MEZO LCSW
Social Worker (Clinical)
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 345-1170
KATHRYN A WICK NP
Nurse Practitioner (Psychiatric/Mental Health)
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512
BRIAN LEE COLLINS LMSW
Social Worker
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 345-1170
DEVIN R PUGMIRE PSS
Peer Specialist
300 S 23RD ST
BOISE, ID 83702
Ada County (208) 344-3512

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 Evan Anderson's NPI number?

The NPI number for Evan Anderson is 1780105767. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Evan Anderson located?

Evan Anderson practices at 300 S 23rd St, Boise, ID 83702. The listed phone number is (208) 344-3512.

What is Evan Anderson's specialty?

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

Is Evan Anderson enrolled in Medicare?

Yes. Evan Anderson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Evan Anderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Anderson reassigns Medicare benefits to 2 organizations: Community Health Clinics, Inc. (Boise, ID) and Lifeways, Inc (Ontario, OR). 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 Evan Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Evan Anderson accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Select Health list Evan Anderson 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 Evan Anderson was last updated on June 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.