Nurudeen Ibrahim, NP
NPI 1417655713 · Gerontology Nurse Practitioner · Boise, ID
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nurudeen Ibrahim, NP is a Gerontology Nurse Practitioner provider in Boise, ID (NPI 1417655713).
Provider details
- NPI number
- 1417655713
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- 75389 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 133 S Baraya WayMeridian, ID 83642-5408Phone: (208) 867-6801
Registry dates
- Enumerated
- 2023-02-16
- Last updated
- 2023-06-02
- Certified
- 2023-06-02
Frequently asked questions
- What is Nurudeen Ibrahim's NPI number?
- Nurudeen Ibrahim's National Provider Identifier (NPI) is 1417655713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nurudeen Ibrahim's specialty?
- Nurudeen Ibrahim is listed in the NPPES registry with a primary specialty of Gerontology Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nurudeen Ibrahim located?
- Nurudeen Ibrahim's practice location on file with NPPES is 999 N Curtis Rd Ste 415, Boise, ID 83706-1334.
- What is Nurudeen Ibrahim's phone number?
- The practice phone number listed in the NPPES registry for Nurudeen Ibrahim is (208) 302-2600.
- Does Nurudeen Ibrahim accept Medicare?
- Nurudeen Ibrahim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nurudeen Ibrahim's NPI active?
- Yes — Nurudeen Ibrahim's NPI (1417655713) is active in the NPPES registry as of the last update on 2023-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.