DR. MICHELLE MAE FRESHWATER M.D. - NPI 1851591879 - General Practice in Meridian, ID

Q: What is Michelle Freshwater's NPI number?

The NPI number for Michelle Freshwater is 1851591879. It was assigned to this individual provider in the NPPES registry on July 18, 2007.

Q: What is Michelle Freshwater's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: Is Michelle Freshwater enrolled in Medicare?

No. Michelle Freshwater has opted out of Medicare through March 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

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About Dr. Michelle Mae Freshwater M.d. NPPES

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

DR. MICHELLE MAE FRESHWATER M.D. (NPI 1851591879) is an individual general practice provider in Meridian, Idaho, licensed in Idaho (M-8944) and active in the NPI registry since July 2007. She has opted out of Medicare through March 7, 2028 and remains eligible to order and refer and maintains a secondary practice location in Fruitland.

NPPES Registry Identity

NPI1851591879

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. MICHELLE MAE FRESHWATERCredential: M.D.

Location Address3875 E OVERLAND RD STE 204Meridian, ID 83642-9048

Mailing Address3875 E Overland Rd Ste 204Meridian, ID 83642-9048 · (208) 343-3652 · Fax (208) 367-9188

Phone(208) 343-3652

Fax(208) 367-9188

Sole ProprietorYes

Enumeration DateJuly 18, 2007

Last NPPES UpdateSeptember 18, 2025

NPPES CertifiedSeptember 18, 2025

✔ NPI 1851591879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in ID · M-8944

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License M-8944 (ID)

3875 E OVERLAND RD STE 204, Meridian, ID 83642

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Secondary Practice Location 1

Location 1133 N Whitley DrFruitland, ID 83619-2430 · Phone (208) 739-5679

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michelle Mae Freshwater M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 7, 2016 through March 7, 2028.

Opt-Out Effective DateMarch 7, 2016

Opt-Out In Effect ThroughMarch 7, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Michelle Freshwater's NPI number?

The NPI number for Michelle Freshwater is 1851591879. It was assigned to this individual provider in the NPPES registry on July 18, 2007.

Where is Michelle Freshwater located?

Michelle Freshwater practices at 3875 E Overland Rd Ste 204, Meridian, ID 83642. The listed phone number is (208) 343-3652.

What is Michelle Freshwater's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Michelle Freshwater enrolled in Medicare?

No. Michelle Freshwater has opted out of Medicare through March 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michelle Freshwater was last updated on September 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.