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

AMANDA NIEBERGALL PMHNP
NPI 1902780497
Nurse Practitioner - Psychiatric/Mental Health in Idaho Falls, ID

Active since August 05, 2025PECOS Enrolled
2001 S WOODRUFF AVE STE 9, IDAHO FALLS, ID 83404(208) 419-3002(208) 419-3002 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 3, 2026, Aug 5, 2025 (2 updates tracked since 2025).

About Amanda Niebergall Pmhnp NPPES

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

AMANDA NIEBERGALL PMHNP (NPI 1902780497) is an individual psychiatric/mental health provider in Idaho Falls, Idaho, licensed in Idaho (8361874) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902780497
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA NIEBERGALLCredential: PMHNP
Location Address2001 S WOODRUFF AVE STE 9Idaho Falls, ID 83404-6371
Mailing Address2001 S Woodruff Ave Ste 9Idaho Falls, ID 83404-6371 · (208) 419-3002 · Fax (208) 656-5652
Phone(208) 419-3002
Fax(208) 419-3002
Sole ProprietorNo
Enumeration DateAugust 5, 2025
Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1902780497 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 · 8361874
2001 S WOODRUFF AVE STE 9, Idaho Falls, ID 83404
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Niebergall Pmhnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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 16

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

RANDALL JAMES LAW PA-C
Physician Assistant (Medical)
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Bonneville County (208) 419-3002
JARED THOMAS JOHN PSY
Psychologist (School)
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Bonneville County (208) 419-3002
MRS. ASHLEY BRIANNE ROHRBACH LPC, NCC
Counselor (Mental Health)
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Bonneville County (208) 419-3002
KWADWO ANTWI SAKA MD
Student in an Organized Health Care Education/Training Program
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Bonneville County (208) 419-3002
MICHAELA SOPHIA BUTLER PA-S
Physician Assistant
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Bonneville County (208) 419-3002
RACHEL BUTIKOFER APRN-CNP
Nurse Practitioner (Psychiatric/Mental Health)
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Bonneville County (208) 419-3002
JASON SIMPSON PA-C
Physician Assistant
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Bonneville County (208) 419-3002
MR. KADE DOUGLAS ANDERSON P.A.
Clinical Nurse Specialist (Psychiatric/Mental Health)
2001 S WOODRUFF AVE STE 9
IDAHO FALLS, ID 83404
Bonneville County (208) 419-3002

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 Amanda Niebergall's NPI number?

The NPI number for Amanda Niebergall is 1902780497. It was assigned to this individual provider in the NPPES registry on August 5, 2025.

Where is Amanda Niebergall located?

Amanda Niebergall practices at 2001 S Woodruff Ave Ste 9, Idaho Falls, ID 83404. The listed phone number is (208) 419-3002.

What is Amanda Niebergall's specialty?

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

Is Amanda Niebergall enrolled in Medicare?

Yes. Amanda Niebergall is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amanda Niebergall was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 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.