Nichole Blair Shumway, DO - Medicare Internal Medicine in Rupert, ID

  1. Home
  2. Internal Medicine
  3. ID
  4. Rupert
Nichole Blair Shumway, DO is a medicare enrolled "Internal Medicine" physician in Rupert, Idaho. Her current practice location is 1308 8th St, Rupert, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 436-4322.

Nichole Blair Shumway is licensed to practice in Idaho (license number O-1848) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386263796.

Contact Information

Nichole Blair Shumway, DO
1308 8th St,
Rupert, ID 83350-1530
(208) 436-4322
Not Available

Map and Direction




Physician's Profile

Full NameNichole Blair Shumway
GenderFemale
SpecialityInternal Medicine
Location1308 8th St, Rupert, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386263796
  • Provider Enumeration Date: 04/15/2020
  • Last Update Date: 06/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2769809417
  • Enrollment ID: I20230912001070

Medical Identifiers

Medical identifiers for Nichole Blair Shumway such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386263796NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine O-1848 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nichole Blair Shumway allows following entities to bill medicare on her behalf.
Entity NameSt Lukes Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790718229
PECOS PAC ID: 1052217478
Enrollment ID: O20031208000899
Entity NameMinidoka Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679553531
PECOS PAC ID: 7315908894
Enrollment ID: O20050801000086

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nichole Blair Shumway is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nichole Blair Shumway, DO
190 E Bannock St,
Boise, ID 83712-6241

Ph: () -		Nichole Blair Shumway, DO
1308 8th St,
Rupert, ID 83350-1530

Ph: (208) 436-4322

Reviews and Comments


Internal Medicine Doctors in Rupert, ID

Dr. Akavaram N Reddy, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1308 8th St Ste 1, Rupert, ID 83350
Phone: 208-436-4322    Fax: 208-436-1312
Tyson Dean Steel, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1308 8th St Ste 1, Rupert, ID 83350
Phone: 208-436-4322    Fax: 208-436-1312

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.