Wivine Pili Bisoka
Community Health Worker in Boise, ID. Individual provider (NPI-1).
NPI number1306791611
StatusActive
Last updated in NPPESMar 2, 2026
Details
- NPI
- 1306791611
- Entity type
- Individual (NPI-1)
- Name
- Wivine Pili Bisoka
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 2, 2026
- Certification date
- Mar 2, 2026
- Last updated
- Mar 2, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
8601 W Emerald St Ste 160Boise, ID 83704-8297
Phone 208-992-6510
Mailing address
15353 Hogback WayCaldwell, ID 83607-5786
Phone 208-794-2650
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 38 Community Health Worker providers in Boise · All 12,265 providers in Boise
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