NIKOLE A SHEPHERDSON DO
NPI 1760610950
Family Medicine in Boise, ID

Q: What is Nikole Shepherdson's NPI number?

The NPI number for Nikole Shepherdson is 1760610950. It was assigned to this individual provider in the NPPES registry on June 25, 2009. The provider is also known as Nikole A Cremer Do.

Q: What is Nikole Shepherdson's specialty?

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

Active since June 25, 2009PECOS EnrolledAccepts Medicare Assignment

777 N RAYMOND ST, BOISE, ID 83704(208) 367-6030(208) 322-7018 Get Directions Write a Review

NPPES record last updated: September 19, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nikole A Shepherdson Do NPPES

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

NIKOLE A SHEPHERDSON DO (NPI 1760610950) is an individual family medicine provider in Boise, Idaho, licensed in Idaho (O-0597) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Western University Of Health Sciences College Of Dental Med (2009).

NPPES Registry Identity

NPI1760610950

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNIKOLE A SHEPHERDSONCredential: DO

Location Address777 N RAYMOND STBoise, ID 83704-9251

Mailing Address777 N Raymond StBoise, ID 83704-9251 · (208) 367-6030 · Fax (208) 322-7018

Phone(208) 367-6030

Fax(208) 322-7018

Sole ProprietorNo

Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2009

Enumeration DateJune 25, 2009

Last NPPES UpdateSeptember 19, 2011

✔ NPI 1760610950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in ID · O-0597✔ Licensed in ID · MR-1048

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.

777 N RAYMOND ST, Boise, ID 83704

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Other Names 1

Former Name (1)Nikole A Cremer Do

Other Identifiers 1

Medicaid808390200ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.Insurance ›

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

Nikole A Shepherdson Do 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 ID3173774973

PECOS Enrollment IDI20121102000304

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 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

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 83704 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.

Other Providers at the Same Location NPPES 20

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

TRACY ADAMS DO

Family Medicine