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

Nikole A Shepherdson, DO

Individual provider Family Medicine Physician · NPI 1760610950

Nikole A Shepherdson, DO is a Family Practice in Boise, Idaho. Graduated from Western University of Health Sciences College of Dental Med in 2009, 17 years ago. Practices with Full Circle Health Inc, a 109-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
17
Trained at
Western University of Health Sciences College of Dental Med
Licensed in
ID
In the registry since
2009
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

777 N Raymond St
Boise, ID 83704-9251
Phone: (208) 367-6030
Fax: (208) 322-7018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-0597 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence MR-1048 (ID)

Record details

NPI number1760610950
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 25, 2009
Last updated in NPPESSeptember 19, 2011
Mailing address777 N Raymond St, Boise, ID 83704-9251

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated 2009 (17 years in practice)
Group practice Full Circle Health Inc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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