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NATALIE A DOMANGUE-SHIFLETT MD
NPI 1376510123
Family Medicine in Meridian, ID

Active since March 01, 2006PECOS Enrolled
4740 N PENNGROVE WAY, STE 100, MERIDIAN, ID 83646(208) 938-3663(208) 938-3664 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2022, Aug 23, 2019, Jul 27, 2019 (3 updates tracked since 2019).

About Natalie A Domangue-shiflett Md NPPES

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

NATALIE A DOMANGUE-SHIFLETT MD (NPI 1376510123) is an individual family medicine provider in Meridian, Idaho, licensed in Idaho (M-9985) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376510123
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNATALIE A DOMANGUE-SHIFLETTCredential: MD
Location Address4740 N PENNGROVE WAY, STE 100Meridian, ID 83646
Mailing Address4740 N Penngrove Way, Ste 100Meridian, ID 83646 · (208) 938-3663 · Fax (208) 938-3664
Phone(208) 938-3663
Fax(208) 938-3664
Sole ProprietorNo
Enumeration DateMarch 1, 2006
Last NPPES UpdateOctober 5, 20223 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
✔ NPI 1376510123 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 · M-9985
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.
4740 N PENNGROVE WAY, Meridian, ID 83646
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Other Names 1

Other Name (5)Natalie A Shiflett Md

Secondary Practice Locations 2

Location 14740 N Penngrove Way, Ste 100Meridian, ID 83646 · Phone (208) 965-0905
Location 2500 W Fort StBoise, ID 83702-4501 · Phone (208) 422-1000

Other Identifiers 1

MedicaidH36269ID

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Natalie A Domangue-shiflett Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Natalie Domangue-shiflett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pioneer Family Medicine PLLC
Same address
Family Medicine
4740 N. PENNGROVE WAY, STE. 100
Meridian, ID 83646
  • Reassigned Medicare billing, Idaho enrollment
  • 14 clinicians in this Medicare group
NPI 1952335929 (208) 938-3663

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83646 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
28%29 patients2/55-star benchmark: 85%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
21%57 patients1/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE JOANNA FRANDEN DNP, NP-C
Nurse Practitioner (Primary Care)
4740 N PENNGROVE WAY, STE 100
MERIDIAN, ID 83646
Ada County (208) 938-3663
MR. RICHARD M MCCONKIE JR. NP-C
Nurse Practitioner
4740 N PENNGROVE WAY
MERIDIAN, ID 83646
Ada County (208) 514-0203
THRIVE PEDIATRICS, LLC
Pediatrics
4740 N PENNGROVE WAY, SUITE 210
MERIDIAN, ID 83646
Ada County (208) 514-0203
JOSIE F FARMER NP-C
Nurse Practitioner (Family)
4740 N PENNGROVE WAY, STE 100
MERIDIAN, ID 83646
Ada County (208) 938-3663
CAREY MICHAEL HENSON MSN, FNP-C
Nurse Practitioner (Family)
4740 N PENNGROVE WAY
MERIDIAN, ID 83646
Ada County (208) 938-3663
LAURA EATON NP-C
Nurse Practitioner (Gerontology)
4740 N PENNGROVE WAY, STE 100
MERIDIAN, ID 83646
Ada County (208) 938-3663

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 Natalie Domangue-shiflett's NPI number?

The NPI number for Natalie Domangue-shiflett is 1376510123. It was assigned to this individual provider in the NPPES registry on March 1, 2006. The provider is also known as Natalie A Shiflett MD.

Where is Natalie Domangue-shiflett located?

Natalie Domangue-shiflett practices at 4740 N Penngrove Way Ste 100, Meridian, ID 83646. The listed phone number is (208) 938-3663.

What is Natalie Domangue-shiflett's specialty?

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

Is Natalie Domangue-shiflett enrolled in Medicare?

Yes. Natalie Domangue-shiflett is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Natalie Domangue-shiflett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Natalie Domangue-shiflett reassigns Medicare benefits to Pioneer Family Medicine PLLC (Meridian, 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 Natalie Domangue-shiflett'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 Natalie Domangue-shiflett was last updated on October 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.