Individual provider Active NPI

Cole Daniel Szymkiewicz, AGANCP-BC

  • Gerontology Clinical Nurse Specialist
  • Meridian, ID
National Provider Identifier
1972368595
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X
License
75604 Issued in ID
Practice address
3715 E Overland Rd Ste 105
Meridian, ID 83642-8300
Phone
(208) 906-9128
NPI assigned
Feb 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 75604 ID
Gerontology Clinical Nurse Specialist 364SG0600X 75604 ID Primary

Addresses

Primary practice location

3715 E Overland Rd Ste 105
Meridian, ID 83642-8300

Mailing address

3715 E Overland Rd Ste 105
Meridian, ID 83642-8300
Phone (208) 906-9128

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240606002622 ID Practitioner - Nurse Practitioner 1850833732 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jul 1, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Jul 1, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
Amh Series II Id, LLC Past Accepting new patients

Locations

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

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

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

4424 E Flamingo Ave
Ste 300
Nampa, ID 83687
Phone (208) 302-0200

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1972368595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 E OVERLAND RD STE 105",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428300",
            "telephone_number": "208-906-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 E OVERLAND RD STE 105",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428300",
            "telephone_number": "208-906-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZYMKIEWICZ",
        "first_name": "COLE",
        "middle_name": "DANIEL",
        "credential": "AGANCP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-14",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "ID",
            "license": "75604",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "ID",
            "license": "75604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

Verify at the official NPI Registry.