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NPI · 1417054693 · NPPES-sourced

Eagle Family Medicine P A

ActiveFamily Medicine
NPI Number
1417054693
Type 2 · Organisation
Taxonomy Code
207Q00000X
Contact
(208) 939-3197
License ID · M-7050
Last Updated
Enumerated
Primary practice addressID · 83616-6576
100 Cottonwood Ct, Suite 100Eagle, ID 83616-6576
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About this NPIWhat this record shows.

NPI 1417054693 is registered to Eagle Family Medicine P A, a healthcare organisation classified as "Family Medicine" and located at 100 Cottonwood Ct, Suite 100 in Eagle, Idaho. The organisation's authorised official is Shawn Nowierski. The organisation has been enumerated in the NPI registry since 2006.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Eagle Family Medicine P A accepts. To confirm in-network status with your specific health plan, contact Eagle Family Medicine P A directly at (208) 939-3197.

Frequently asked

Yes. NPI 1417054693 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Family Medicine physicians provide comprehensive primary care for patients of all ages, including preventive care, chronic disease management, and acute illness treatment.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (208) 939-3197.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Eagle Family Medicine P A is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207Q00000X
Last updated
Enumerated
StatusActive
Partneri
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1 record · same addressOther providers at this location.

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Same specialtyOther Family Medicine providers in Idaho.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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