Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ryan Nathaniel Bopp, NP-C

Individual provider Family Nurse Practitioner · NPI 1588522189

Dr. Ryan Nathaniel Bopp, NP-C is a Nurse Practitioner in Boise, Idaho. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2026
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

510 N 2nd St Ste 103
Boise, ID 83702-6081
Phone: (208) 381-4700
Fax: (208) 381-4977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5633 N Lidgerwood St, Spokane, WA 99208-1224 — (509) 482-0111

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7871063 (ID)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 7871063 (ID)

Record details

NPI number1588522189
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorYes
NPI enumeratedJanuary 12, 2026
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address190 E Bannock St, Boise, ID 83712-6241

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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