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

NICOLE LYBBERT
NPI 1841020518
Nurse Practitioner - Psychiatric/Mental Health in Rexburg, ID

Active since August 06, 2024PECOS EnrolledAccepts Medicare Assignment
393 E 2ND N, REXBURG, ID 83440(208) 359-6900 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2026, Aug 6, 2024 (2 updates tracked since 2024).

About Nicole Lybbert NPPES

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

NICOLE LYBBERT (NPI 1841020518) is an individual psychiatric/mental health provider in Rexburg, Idaho, licensed in Idaho (62400) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rexburg, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1841020518
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE LYBBERT
Location Address393 E 2ND NRexburg, ID 83440-1605
Mailing Address1148 Coyote Willow WayRexburg, ID 83440-5271
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 6, 2024
Last NPPES UpdateSeptember 2, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1841020518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ID · 62400
393 E 2ND N, Rexburg, ID 83440

Secondary Practice Location 1

Location 137 S 2nd ERexburg, ID 83440-1906 · Phone (208) 359-6900

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

Nicole Lybbert 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 ID8820518095
PECOS Enrollment IDI20250219001527
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 Reassignment

Medicare enrollment records show Nicole Lybbert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
393 E 2ND N
Rexburg, ID 83440
  • Reassigned Medicare billing, Idaho enrollment
  • 40 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 83440 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 20

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

Occupational Therapist
393 E 2ND N
REXBURG, ID 83440
Nurse Practitioner
393 E 2ND N
REXBURG, ID 83440
Family Medicine
393 E 2ND N
REXBURG, ID 83440
Marriage & Family Therapist
393 E 2ND N
REXBURG, ID 83440
Speech-Language Pathologist
393 E 2ND N
REXBURG, ID 83440
Speech-Language Pathologist
393 E 2ND N
REXBURG, ID 83440
Family Medicine
393 E 2ND N
REXBURG, ID 83440
Dietitian, Registered
393 E 2ND N
REXBURG, ID 83440

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 Nicole Lybbert's NPI number?

The NPI number for Nicole Lybbert is 1841020518. It was assigned to this individual provider in the NPPES registry on August 6, 2024.

Where is Nicole Lybbert located?

Nicole Lybbert practices at 393 E 2nd N, Rexburg, ID 83440. The listed phone number is (208) 359-6900.

What is Nicole Lybbert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicole Lybbert enrolled in Medicare?

Yes. Nicole Lybbert 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 organization bills Medicare for Nicole Lybbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Lybbert reassigns Medicare benefits to Madison Co Memorial Hospital (Rexburg, ID). The 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 Nicole Lybbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Lybbert accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, Providence Health Plan, Select Health and University of Utah Health Plans list Nicole Lybbert 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 Nicole Lybbert was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 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.