GREENE MOUNTAIN MEDICAL
NPI 1124710009
Clinic/Center - Primary Care in Nampa, ID
About Greene Mountain Medical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREENE MOUNTAIN MEDICAL (NPI 1124710009) is a healthcare organization registered as a primary care in Nampa, Idaho and active in the NPI registry since May 2023. The organization lists Aimee Elizabeth Shepard, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Greene Mountain Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Greene Mountain Medical, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Greene Mountain Medical's NPI number?
The NPI number for Greene Mountain Medical is 1124710009. It was assigned to this organization in the NPPES registry on May 22, 2023.
Where is Greene Mountain Medical located?
Greene Mountain Medical is located at 3719 Wheeler Cir, Nampa, ID 83686. The listed phone number is (208) 695-0388.
What is Greene Mountain Medical's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Greene Mountain Medical enrolled in Medicare?
Yes. Greene Mountain Medical is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Greene Mountain Medical?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Greene Mountain Medical. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Greene Mountain Medical accept?
Health plans from Molina Healthcare list Greene Mountain Medical 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 Greene Mountain Medical was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Greene Mountain Medical · NPI 1124710009
Primary Care organization in Nampa, Idaho. Organization record, active in the CMS NPPES registry since May 22, 2023.
## Identity
- **NPI:** 1124710009 (Entity type: Organization)
- **Enumerated:** May 22, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Aimee Shepard, OWNER
## Practice location
- **Address:** 3719 WHEELER CIR, Nampa, ID 83686-7949
- **Phone:** (208) 695-0388 · **Fax:** (208) 606-3682
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124710009) · Data from the CMS NPPES public registry.