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

Active since March 01, 2006PECOS EnrolledAccepts Medicare Assignment
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: August 09, 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, is affiliated with Saint Alphonsus Regional Medical Center, 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
Fax(208) 938-3664
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1998
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

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Natalie A Domangue-shiflett Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072501972
PECOS Enrollment IDI20071026000578
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

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.

Nurse Practitioner (Primary Care)
4740 N PENNGROVE WAY, STE 100
MERIDIAN, ID 83646
Nurse Practitioner
4740 N PENNGROVE WAY
MERIDIAN, ID 83646
Pediatrics
4740 N PENNGROVE WAY, SUITE 210
MERIDIAN, ID 83646
Nurse Practitioner (Family)
4740 N PENNGROVE WAY, STE 100
MERIDIAN, ID 83646
Nurse Practitioner (Family)
4740 N PENNGROVE WAY
MERIDIAN, ID 83646
Nurse Practitioner (Gerontology)
4740 N PENNGROVE WAY, STE 100
MERIDIAN, ID 83646

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Natalie Domangue-shiflett affiliated with any hospitals?

According to CMS data, Natalie Domangue-shiflett is affiliated with Saint Alphonsus Regional Medical Center.

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 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.