DR. SHAWN A RUDKIN DC CCEP
NPI 1063587194
Chiropractor in Parma, ID
About Dr. Shawn A Rudkin Dc Ccep NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHAWN A RUDKIN DC CCEP (NPI 1063587194) is an individual chiropractor in Parma, Idaho, licensed in Idaho (CHIA857) and active in the NPI registry since November 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shawn A Rudkin Dc Ccep is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shawn Rudkin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Parma, ID 83660
- Reassigned Medicare billing, Idaho enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Shawn Rudkin's NPI number?
The NPI number for Shawn Rudkin is 1063587194. It was assigned to this individual provider in the NPPES registry on November 22, 2006.
Where is Shawn Rudkin located?
Shawn Rudkin practices at 101 E Grove Avenue, Parma, ID 83660. The listed phone number is (208) 722-9999.
What is Shawn Rudkin's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Shawn Rudkin enrolled in Medicare?
Yes. Shawn Rudkin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shawn Rudkin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Rudkin reassigns Medicare benefits to Shawn A Rudkin & Associates P C (Parma, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shawn Rudkin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shawn Rudkin was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Shawn A Rudkin, DC CCEP · NPI 1063587194
Chiropractor provider in Parma, Idaho. Individual provider, active in the CMS NPPES registry since November 22, 2006.
## Identity
- **NPI:** 1063587194 (Entity type: Individual)
- **Enumerated:** November 22, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CHIA857 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 E GROVE AVENUE, Parma, ID 83660-0154
- **Phone:** (208) 722-9999
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Shawn A Rudkin & Associates P C (NPI 1730356361, Parma, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2008
- **Other identifiers:** Medicare UPIN U68984 (ID); Medicare PIN 1673783 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1063587194) · Data from the CMS NPPES public registry.