Active NPI
Cole Daniel Szymkiewicz, AGANCP-BC
- Gerontology Clinical Nurse Specialist
- Meridian, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- License
- 75604
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | 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.
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Family Medicine Physician
- Caldwell, ID
- NPI 1861676298
-
- Family Medicine Physician
- Meridian, ID
- NPI 1457983462
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.