Individual provider Active NPI

Shelley R Ringo, MD

  • Sports Medicine (Family Medicine) Physician
  • Moscow, ID
National Provider Identifier
1316143886
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
M-10668 Issued in ID
Practice address
2301 W a St
Moscow, ID 83843-4038
Phone
(208) 883-1135
Fax
(208) 892-0174
NPI assigned
Jun 22, 2007
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-10668 ID
Family Medicine Physician 207Q00000X MD00046953 WA
Sports Medicine (Family Medicine) Physician 207QS0010X MD00046953 WA
Sports Medicine (Family Medicine) Physician 207QS0010X M-10668 ID Primary

Addresses

Primary practice location

2301 W a St
Moscow, ID 83843-4038

Mailing address

PO Box 8007
Moscow, ID 83843-0507

Other practice location 1

700 S Main St
Moscow, ID 83843-3056
Phone (208) 882-4511

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
I20080121000310 WA Practitioner - Family Practice 1355422999 Reassigns benefits to 2 organizations
I20090808000140 ID Practitioner - Family PracticePractitioner - Sports Medicine 1355422999 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Washington School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gritman Medical Center IncGroup PAC ID 4981984390, 19 clinicians

Practice addresses (Care Compare)

2301 W a St
Moscow, ID 83843-4038
Phone (208) 883-1135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-10668IDMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District #1-a of Whitman County CurrentSince Jul 1, 2024 Accepting new patients
Gritman Medical Center Inc CurrentSince Mar 2, 2026 Accepting new patients
Gritman Medical Center Inc CurrentSince Mar 2, 2026 Accepting new patients
Gritman Medical Center Inc. CurrentSince Mar 2, 2026 Accepting new patients
Public Hospital District #1-a of Whitman County Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Gritman Medical Center Inc CurrentSince Mar 2, 2026 Accepting new patients
Bourget Health Services Inc Past Accepting new patients
Washington State University Family Medicine PastSince May 7, 2024 Accepting new patients
Public Hospital District 1 of King County Past Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients

Locations

2301 W A St
Moscow, ID 83843
Phone (208) 883-1135

700 S Main St
Moscow, ID 83843
Phone (208) 746-7555

719 S Main St
Moscow, ID 83843
Phone (208) 848-8300

825 SE Bishop Blvd
Ste 401
Pullman, WA 99163
Phone (509) 336-7720

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

840 SE Bishop Blvd
Ste 103
Pullman, WA 99163
Phone (509) 336-7300

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1316143886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8007",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838430507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W A ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838434038",
            "telephone_number": "208-883-1135",
            "fax_number": "208-892-0174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 S Main St",
            "address_purpose": "LOCATION",
            "city": "Moscow",
            "state": "ID",
            "postal_code": "838433056",
            "country_code": "US",
            "telephone_number": "208-882-4511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RINGO",
        "first_name": "SHELLEY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-10668",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00046953",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WA",
            "license": "MD00046953",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "ID",
            "license": "M-10668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

Verify at the official NPI Registry.