Pascal Rudahindwa Bisimwa

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

9618 W Mossywood Dr
Boise, ID 83709-5333

Phone

(208) 246-9902

NPI assigned

Dec 9, 2025

Last updated

Dec 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Free Minds LLC

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1609506294

  Peer Specialist

  NPD Authorized official
• PLS Care Impact LLC

  • In Home Supportive Care Agency
  • Boise, ID
  • NPI 1134703085
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1508729120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9618 W MOSSYWOOD DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837095333",
            "telephone_number": "208-246-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9618 W MOSSYWOOD DR",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837095333",
            "telephone_number": "208-246-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISIMWA",
        "first_name": "PASCAL",
        "middle_name": "RUDAHINDWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Todd Bishop, PHARMD
• Larry Bishop, MD
• Paul Bishop
• Rebecca Bishop, PA-C
• Tami L Bishop, LCSW
• Neome Bisoci
• Samuel Bisoka
• Wivine Pili Bisoka
• Clay T Bistline
• Bitterroot Counseling, LLC

• Peer Specialist in Boise, ID
• Providers in Boise, ID by specialty
• Peer Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.