SHANE G MACHEN, DO
NPI 1013204445
Family Medicine in Idaho Falls, ID

Q: What is Machen Family Medicine, PC's NPI number?

The NPI number for Machen Family Medicine, PC is 1013204445. It was assigned to this organization in the NPPES registry on July 6, 2011. The provider is doing business as Shane G Machen, Do.

Q: What is Machen Family Medicine, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 06, 2011CLIA 13D0870437 · Microscopy

1995 E 17TH ST STE A, IDAHO FALLS, ID 83404(208) 522-7666(208) 524-2821 Get Directions Write a Review

NPPES record last updated: April 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Shane G Machen, Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE G MACHEN, DO (NPI 1013204445) is a healthcare organization registered as a family medicine in Idaho Falls, Idaho and active in the NPI registry since July 2011. The organization holds a CLIA Microscopy certificate valid through June 12, 2027 and lists Shane G Machen, Owner, as its authorized official.

NPPES Registry Identity

NPI1013204445

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMACHEN FAMILY MEDICINE, PC

Location Address1995 E 17TH ST STE AIdaho Falls, ID 83404-6493

Mailing Address1995 E 17th St Ste AIdaho Falls, ID 83404-6493 · (208) 522-7666 · Fax (208) 524-2821

Phone(208) 522-7666

Fax(208) 524-2821

Organization SubpartYes

Authorized OfficialShane G MachenOwner · (208) 522-7666

Enumeration DateJuly 6, 2011

Last NPPES UpdateApril 26, 2012

✔ NPI 1013204445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in ID · O-0611

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1995 E 17TH ST STE A, Idaho Falls, ID 83404

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Other Names 1

Doing Business AsShane G Machen, Do

Other Identifiers 1

Medicare PIN1196447ID

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 13D0870437

Machen Family Medicine · Idaho Falls, ID

Active · expires Jun 12, 2027

CLIA Number13D0870437

Laboratory TypePhysician Office

Certificate Effective DateJune 13, 2025

Certificate Expiration DateJune 12, 2027

Laboratory DirectorShane G. Machen

Laboratory Phone(208) 522-7666

Laboratory LocationMachen Family Medicine3500 Potomac Way Ste 100, Idaho Falls, ID 83404

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Machen Family Medicine, PC's NPI number?

The NPI number for Machen Family Medicine, PC is 1013204445. It was assigned to this organization in the NPPES registry on July 6, 2011. The provider is doing business as Shane G Machen, Do.

Where is Machen Family Medicine, PC located?

Machen Family Medicine, PC is located at 1995 E 17th St Ste A, Idaho Falls, ID 83404. The listed phone number is (208) 522-7666.

What is Machen Family Medicine, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Machen Family Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D0870437) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Machen Family Medicine, PC accept?

Health plans from University of Utah Health Plans list Machen Family Medicine, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Machen Family Medicine, PC was last updated on April 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.