Nurudeen Ibrahim, NP
NPI 1417655713ActiveIndividual· Nurse Practitioner, Gerontology· Boise, ID
Nurse Practitioner, Gerontology (NP) with Saint Alphonsus Regional Medical Center Inc, practicing in Boise, Idaho. Mostly services rather than prescriptions: Medicare paid $1,439 for 17 patients in 2024, with only 13 Part D claims. Lists Saint Alphonsus Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1417655713 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Feb 16, 2023 |
| Last updated in NPPES | Jun 2, 2023 |
| Certified by provider | Jun 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 75389 | ID |
| Nurse Practitioner, Acute Care | 363LA2100X | 75389 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 25 across 15 procedure codes |
| Paid by Medicare | $1,439 |
Part D prescriptions in 2024
| Prescriptions (claims) | 13 · 13 30-day fills |
|---|---|
| Total drug cost | $46.68 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Saint Alphonsus Regional Medical Center IncBoise, ID · 680 clinicians
Hospital affiliation
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 15 gerontology nurse practitioners in Boise · All gerontology nurse practitioners in Idaho