Nicole Lybbert

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

62400 Issued in ID

Practice address

393 E 2ND N
Rexburg, ID 83440-1605

Phone

(208) 359-6900

NPI assigned

Aug 6, 2024

Last updated

Sep 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madison Co Memorial HospitalGroup PAC ID 8123016367, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Madison Co Memorial Hospital

  dba Madison Memorial Rexburg Medical Clinic

  • Family Medicine Physician
  • Rexburg, ID
  • NPI 1134592017
  Medicare reassignment Care Compare group NPD
• Madison Co Memorial Hospital

  dba Rigby Medical Center

  • Family Medicine Physician
  • Rigby, ID
  • NPI 1356026280
  NPD
• Madison Co Memorial Hospital

  dba Madison Memorial Orthopedics

  • Orthopaedic Surgery Physician
  • Rexburg, ID
  • NPI 1730602756
  NPD
• Connect With Love LLC

  • Mental Health Counselor
  • Rexburg, ID
  • NPI 1902673866
  NPD (past)
• Madison Co Memorial Hospital

  dba Madison Memorial Behavioral Health Clinic

  • Psychiatry Physician
  • Rexburg, ID
  • NPI 1477122570

  Psychiatric/Mental Health

  NPD (past)
• Madison Co Memorial Hospital

  • Psychiatric Hospital Unit
  • Rexburg, ID
  • NPI 1932864642
  NPD (past)

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1841020518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 COYOTE WILLOW WAY",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834405271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 E 2ND N",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401605",
            "telephone_number": "208-359-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 S 2nd E",
            "address_purpose": "LOCATION",
            "city": "Rexburg",
            "state": "ID",
            "postal_code": "834401906",
            "country_code": "US",
            "telephone_number": "208-359-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYBBERT",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "62400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Little
• Robert Curtis Lofgran, M.D.
• Steven Hansen Lofgran, MD
• Brooke Leone Long, LMSW
• Todd J Lundquist, PHARMD
• Kirk Lynn Mace, MSW
• Bree Anne Mackenzie, PTA
• Madison Anesthesia Services PA
• Madison Clinic Optometry, P.C.
• Madison Co Memorial Hospital (Seasons Medical By Madison Memorial)

• Psychiatric/Mental Health Nurse Practitioner in Rexburg, ID
• Providers in Rexburg, ID by specialty
• Psychiatric/Mental Health Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.