Individual provider Active NPI

Shelby Elizabeth Nordmann, MD

  • Family Medicine Physician
  • Rexburg, ID
National Provider Identifier
1457939563
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-17392 Issued in ID
Practice address
255 N 3Rd E
Rexburg, ID 83440-1629
Phone
(208) 356-7585
Fax
(208) 356-7566
NPI assigned
Mar 30, 2021
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-17392 ID Primary

Addresses

Primary practice location

255 N 3Rd E
Rexburg, ID 83440-1629

Mailing address

255 N 3Rd E
Rexburg, ID 83440-1629
Phone (208) 356-7585

Other names 1

  • Shelby Rolfhus Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240627004170 ID Practitioner - Family Practice 8325440258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fall River Medical PLLCGroup PAC ID 4981846698, 8 clinicians

Practice addresses (Care Compare)

2000 Trappers Loop
Rexburg, ID 83440-4104
Phone (208) 881-5222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-17392IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fall River Medical, PLLC CurrentSince Jun 1, 2024 Accepting new patients
Madison Co Memorial Hospital Family Medicine PastSince Jan 21, 2024 Accepting new patients

Locations

2000 Trappers Loop
Rexburg, ID 83440
Phone (208) 881-5222

21 Winn Dr
Rexburg, ID 83440
Phone (208) 881-5222

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: shelby.nordmann.1@17373.direct.athenahealth.com
  • Direct secure messaging: snordmann356999@ahs.direct-ci.com

Organizations & group practices 2

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1457939563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N 3RD E",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401629",
            "telephone_number": "208-356-7585",
            "fax_number": "208-356-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N 3RD E",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "834401629",
            "telephone_number": "208-356-7585",
            "fax_number": "208-356-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDMANN",
        "first_name": "SHELBY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-17392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "ROLFHUS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rexburg, ID

Sources for this page

Verify at the official NPI Registry.