Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497619589 Individual Practitioner Male Practitioner

Samuel Ishimwe

Peer Specialist • Boise, ID

Professional Overview & Biography Verified Profile Summary

Samuel Ishimwe is a registered healthcare professional specializing in Peer Specialist in Boise, ID. Practice services are available at 9428 W FAIRVIEW AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9428 W Fairview Ave

Boise, ID 837048101

Telephone 2082469902
Associated Practice Facility / Clinic
🏢 Dumu Psychiatry Llc Facility NPI 1790302594

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
96 Specialists

Practicing in Boise, ID (223 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-12
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Sajjad Etminan

Peer Specialist

NPI 1215891809
Ben Ndisanze

Community Health Worker

NPI 1477417673
Pascal Bisimwa

Peer Specialist

NPI 1508729120

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 12, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location December 12, 2025

Registered at 9428 W FAIRVIEW AVE, BOISE, ID 837048101 (Tel: 2082469902)

📍
Updated Business Mailing Address December 12, 2025

Registered at 723 S CORAL PL, BOISE, ID 837051262 (Tel: 2088012755)

👤
Provider Name / Credentials Updated December 12, 2025

Recorded as SAMUEL ISHIMWE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2025

Peer Specialist

🟢
Initial NPI Registration & Enumeration December 12, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497619589
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2025
Last Update: December 12, 2025
Sole Proprietor: No

Mailing Address

723 S Coral Pl

Boise, ID 837051262

Phone: 2088012755

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.