NPIMap

Individual provider Active NPI

Aimee Elizabeth Shepard, FNP-C

  • Family Nurse Practitioner
  • Nampa, ID
National Provider Identifier
1154092427
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
56999 Issued in ID
Practice address
3719 Wheeler Cir
Nampa, ID 83686-7949
Phone
(208) 695-0388
Fax
(208) 606-3682
NPI assigned
Sep 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 56999 ID Primary
Home Health Registered Nurse 163WH0200X 56999 ID

Addresses

Primary practice location

3719 Wheeler Cir
Nampa, ID 83686-7949

Mailing address

PO Box 44325
Boise, ID 83711-0325
Phone (208) 695-0388

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220128000727 ID Practitioner - Nurse Practitioner 2769874536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3719 Wheeler Cir
Nampa, ID 83686-7949
Phone (208) 695-0388

Hospital & facility affiliations

  • Aspen Home Care Home health agency, Meridian, ID, CCN 137091
  • Horizon Home Health Home health agency, Meridian, ID, CCN 137065
  • Multicare Home Health Services, Inc Home health agency, Meridian, ID, CCN 137093
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006
  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • St Luke'S Nampa Medical Center Hospital, Nampa, ID, CCN 130071
  • Sunny Ridge Nursing home, Nampa, ID, CCN 135102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
56999IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MMG LLC CurrentSince Jun 27, 2022 Accepting new patients
Greene Mountain Medical CurrentSince Aug 9, 2023 Accepting new patients
MMG LLC CurrentSince Jun 27, 2022 Accepting new patients

Locations

2440 S Titanium Pl
Meridian, ID 83642
Phone (208) 453-2659

1601 12th Ave Rd
Ste 102
Nampa, ID 83686

746 E Winchester St
Ste 230B
Salt Lake City, UT 84107
Phone (801) 456-2333

Organizations & group practices 3

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 12

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": "1632528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1154092427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44325",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837110325",
            "telephone_number": "208-695-0388",
            "fax_number": "208-606-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 WHEELER CIR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836867949",
            "telephone_number": "208-695-0388",
            "fax_number": "208-606-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "AIMEE",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-25",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "56999",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "ID",
            "license": "56999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.