Individual provider Active NPI

Heidi Elizabeth Shields, MD

  • Family Medicine Physician
  • Nampa, ID
National Provider Identifier
1053406488
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-7614 Issued in ID
Practice address
1150 N Sister Catherine Way
Nampa, ID 83687
Phone
(208) 302-7000
Fax
(208) 302-7055
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-7614 ID Primary
Family Medicine Physician 207Q00000X M7614 ID

Addresses

Primary practice location

1150 N Sister Catherine Way
Nampa, ID 83687

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (208) 302-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070926000115 WA Practitioner - Family Practice 3274627989 Reassigns benefits to 2 organizations
I20121120000498 ID Practitioner - Family PracticePractitioner - Internal Medicine 3274627989 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia County Hospital DistrictGroup PAC ID 5597653758, 55 clinicians
Sound Physicians of IdahoGroup PAC ID 4688705346, 47 clinicians
Saint Alphonsus Regional Medical Center IncGroup PAC ID 3476462359, 672 clinicians

Practice addresses (Care Compare)

1012 S 3Rd St
Dayton, WA 99328-1606
Phone (509) 382-2531

1512 12TH Ave Rd
Nampa, ID 83686-6008
Phone (208) 463-5000

215 E Hawaii Ave
Nampa, ID 83686-6011

3025 W Cherry LN
Meridian, ID 83642-8531

4300 E Flamingo Ave
Nampa, ID 83687-3138
Phone (208) 205-1000

Hospital & facility affiliations

  • Saint Alphonsus Medical Center - Nampa Hospital, Nampa, ID, CCN 130013
  • Dayton General Hospital Hospital, Dayton, WA, CCN 501302
  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M7614IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Nov 5, 2012 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Family Medicine CurrentSince Nov 5, 2012 Accepting new patients
Hospitalist Medicine Physicians of Idaho- Nampa PLLC CurrentSince Jan 1, 2021 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Sound Physicians of Idaho Family Medicine CurrentSince Aug 23, 2017 Accepting new patients
Columbia County Hospital District CurrentSince Aug 22, 2022 Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719

315 E Elm St
Ste 100
Caldwell, ID 83605
Phone (208) 302-7100

323 E Riverside Dr
Eagle, ID 83616
Phone (208) 302-6000

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

3025 W Cherry Ln
Meridian, ID 83642
Phone (208) 302-6400

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

3340 E Goldstone Dr
Meridian, ID 83642
Phone (208) 302-9342

215 E Hawaii Ave
Ste 200
Nampa, ID 83686
Phone (208) 302-7760

211 W Iowa Ave
Nampa, ID 83686
Phone (208) 315-6717

1150 N Sister Catherine Way
Nampa, ID 83687
Phone (208) 302-7000

4403 E Flamingo Ave
Nampa, ID 83687
Phone (208) 288-4960

1200 Garrity Blvd
Nampa, ID 83687
Phone (208) 343-6458

4400 E Flamingo Ave
Nampa, ID 83687
Phone (208) 288-4620

1512 12th Ave Rd
Nampa, ID 83686
Phone (208) 463-5000

4402 E Flamingo Ave
Nampa, ID 83687
Phone (208) 205-1000

645 E 5th St
Weiser, ID 83672
Phone (208) 549-0370

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

1012 S 3rd St
Dayton, WA 99328
Phone (509) 382-2531

Interoperability endpoints

  • Direct secure messaging: hshields1563916@direct.trinity-health.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053406488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-302-7000",
            "fax_number": "208-302-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N SISTER CATHERINE WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "83687",
            "telephone_number": "208-302-7000",
            "fax_number": "208-302-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "HEIDI",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-7614",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M7614",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.