SADIE ANNE SHELTON DO
NPI 1861330573
Student in an Organized Health Care Education/Training Program in Boise, ID

Active since March 23, 2026PECOS Enrolled
2934 S GOSHEN WAY, BOISE, ID 83709(208) 891-3328 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sadie Anne Shelton Do NPPES

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

SADIE ANNE SHELTON DO (NPI 1861330573) is an individual student in an organized health care education/training program in Boise, Idaho and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861330573
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSADIE ANNE SHELTONCredential: DO
Location Address2934 S GOSHEN WAYBoise, ID 83709-8544
Mailing Address2934 S Goshen WayBoise, ID 83709-8544 · (208) 891-3328
Sole ProprietorNo
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 23, 2026
NPI 1861330573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2934 S GOSHEN WAY, Boise, ID 83709

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sadie Anne Shelton Do 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.

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 Sadie Shelton's NPI number?

The NPI number for Sadie Shelton is 1861330573. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Sadie Shelton located?

Sadie Shelton practices at 2934 S Goshen Way, Boise, ID 83709. The listed phone number is (208) 891-3328.

What is Sadie Shelton's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sadie Shelton enrolled in Medicare?

Yes. Sadie Shelton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sadie Shelton 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 4 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.