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MYFAMILYDOC
NPI 1346001377
Nurse Practitioner - Family in Boise, ID

Active since January 17, 2024CLIA 13D2298714 · Waiver
1000 N CURTIS RD STE 105, BOISE, ID 83706(208) 202-7861(833) 428-4627 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 23, 2026, Mar 20, 2026 (2 updates tracked since 2026).

About Myfamilydoc NPPES

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

MYFAMILYDOC (NPI 1346001377) is a healthcare organization registered as a family in Boise, Idaho and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through February 6, 2028 and lists Dimitri Shchadenko, Dnp, Fnp-c/owner, as its authorized official.

NPPES Registry Identity

NPI1346001377
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMYFAMILYDOC
Location Address1000 N CURTIS RD STE 105Boise, ID 83706-1345
Mailing Address2885 Nw 10th AveMeridian, ID 83646-3159 · (208) 202-7861 · Fax (833) 428-4627
Phone(208) 202-7861
Fax(833) 428-4627
Organization SubpartNo
Authorized OfficialDimitri ShchadenkoDnp, Fnp-c/owner · (650) 284-6595
Enumeration DateJanuary 17, 2024
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1346001377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1000 N CURTIS RD STE 105, Boise, ID 83706
Open in Google Maps ↗

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 Moda Health Plan, Inc..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)

Myfamilydoc 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 Myfamilydoc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dimitri Shchadenko, FNP
Nurse Practitioner
NPI 1104489343
2065 E 17TH ST STE A
Idaho Falls, ID 83404
(800) 640-3451
✔ PECOS✔ Accepts Medicare214 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 of Waiver 13D2298714

Myfamilydoc · Boise, ID
Active · expires Feb 6, 2028
CLIA Number13D2298714
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 7, 2026
Certificate Expiration DateFebruary 6, 2028
Laboratory DirectorDimitri Shchadenko
Laboratory Phone(650) 284-6595
Laboratory LocationMyfamilydoc1000 N Curtis Rd Ste 105, Boise, ID 83706
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Myfamilydoc's NPI number?

The NPI number for Myfamilydoc is 1346001377. It was assigned to this organization in the NPPES registry on January 17, 2024.

Where is Myfamilydoc located?

Myfamilydoc is located at 1000 N Curtis Rd Ste 105, Boise, ID 83706. The listed phone number is (208) 202-7861.

What is Myfamilydoc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Myfamilydoc enrolled in Medicare?

Yes. Myfamilydoc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Myfamilydoc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Myfamilydoc. 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.

Does Myfamilydoc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2298714) is associated with this NPI, valid through February 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Myfamilydoc accept?

Health plans from Moda Health Plan, Inc. list Myfamilydoc 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 Myfamilydoc was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.