SERGEY KASHUBIN NP-C
NPI 1912569351
Nurse Practitioner - Primary Care in Boise, ID
About Sergey Kashubin Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SERGEY KASHUBIN NP-C (NPI 1912569351) is an individual primary care provider in Boise, Idaho, licensed in Idaho (56339) and active in the NPI registry since July 2019. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Sergey Kashubin Np-c 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 April 1, 2025 through April 1, 2027.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83709 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOISE, ID 83709
BOISE, ID 83709
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 Sergey Kashubin's NPI number?
The NPI number for Sergey Kashubin is 1912569351. It was assigned to this individual provider in the NPPES registry on July 6, 2019.
Where is Sergey Kashubin located?
Sergey Kashubin practices at 10583 W Lake Hazel Rd, Boise, ID 83709. The listed phone number is (208) 302-5950.
What is Sergey Kashubin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Sergey Kashubin enrolled in Medicare?
No. Sergey Kashubin has opted out of Medicare through April 1, 2027. 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.
What insurance does Sergey Kashubin accept?
Health plans from Providence Health Plan list Sergey Kashubin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Sergey Kashubin was last updated on November 23, 2021. 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.
# Sergey Kashubin, NP-C · NPI 1912569351
Primary Care physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since July 6, 2019.
## Identity
- **NPI:** 1912569351 (Entity type: Individual)
- **Enumerated:** July 6, 2019
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 56339 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 10583 W LAKE HAZEL RD, Boise, ID 83709-6326
- **Phone:** (208) 302-5950
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** November 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1912569351) · Data from the CMS NPPES public registry.