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

Nicholas W. Hodgman, MD

Individual provider Cardiovascular Disease Physician · NPI 1164439725

Nicholas W. Hodgman, MD is an Interventional Cardiology in Nampa, Idaho. Graduated from Medical College of Wisconsin in 2002, 24 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group and accepts Medicare assignment. Licensed in Iowa and Idaho.

Years since qualifying
24
Trained at
Medical College of Wisconsin
Licensed in
IA, ID
In the registry since
2006
Specialties on file
2
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

4424 E Flamingo Ave Ste 300
Nampa, ID 83687
Phone: (208) 302-0200
Fax: (208) 302-0255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence M-14705 (ID)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 38352 (IA)

Record details

NPI number1164439725
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 3, 2006
Last updated in NPPESJuly 23, 2019

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2002 (24 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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