ANNALISE BOLYARD, RN, BSN — NPI 1427706647 (Licensed & Credentialed Registered Nurse, Hospice in TWIN FALLS, ID)

CMS-1500 Box 24J / 33a • NPI

1427706647

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WH1000X

Licensed & Credentialed Registered Nurse, Hospice

Box 32 Service Location & ZIP+4

455 PARK VIEW LOOP, TWIN FALLS, ID, 83301-3393

✓ 9-Digit EDI 837 ZIP+4 (83301-3393)

Practice Phone & Referral Fax

(208) 421-4391

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1427706647 (ANNALISE BOLYARD, RN, BSN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1427706647` (NPI-1 Individual Practitioner)
Provider / Legal Name	ANNALISE BOLYARD, RN, BSN
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Hospice NUCC Code: `163WH1000X` (Registered Nurse, Hospice)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	455 PARK VIEW LOOP, TWIN FALLS, ID, 83301-3393
Practice Telephone / Fax	Tel: (208) 421-4391
Administrative Mailing Address	553 EAST RD, JEROME, ID, 83338-5645
Enumeration & Last Sync	Enumerated: 2022-03-16 \| CMS Record Updated: 2022-03-16

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

455 PARK VIEW LOOP, TWIN FALLS, ID, 83301-3393

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Plain-English Taxonomy & CMS Crosswalk (163WH1000X)

What Does Taxonomy Code 163WH1000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WH1000X translates to:
"Licensed & Credentialed Registered Nurse, Hospice"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Hospice for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANNALISE BOLYARD, RN, BSN)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WH1000X` — Registered Nurse, Hospice Plain English: Licensed & Credentialed Registered Nurse, Hospice	State: ID \| License: `59972` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ANNALISE BOLYARD, RN, BSN (NPI #1427706647)