Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Natalie A Domangue-Shiflett, MD

Individual provider Family Medicine Physician · NPI 1376510123

Natalie A Domangue-Shiflett, MD is a Family Practice in Meridian, Idaho. Graduated from Louisiana State University School of Medicine in New Orleans in 1998, 28 years ago. Practices with Pioneer Family Medicine PLLC, a 13-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
28
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
ID
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4740 N Penngrove Way Ste 100
Meridian, ID 83646
Phone: (208) 938-3663
Fax: (208) 938-3664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 500 W Fort St, Boise, ID 83702-4501 — (208) 422-1000
  • 4740 N Penngrove Way, Meridian, ID 83646 — (208) 965-0905

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-9985 (ID)

Record details

NPI number1376510123
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 1, 2006
Last updated in NPPESOctober 5, 2022
Certification dateOctober 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 1998 (28 years in practice)
Group practice Pioneer Family Medicine Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Meridian