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Active NPI 1396358438 Individual Practitioner Male Practitioner

John Wayne Shaffer , LPN

Licensed Practical Nurse • Boise, ID

Professional Overview & Biography Verified Profile Summary

John Shaffer, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Boise, ID. Practice services are available at 500 W FRONT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 W Front St

Boise, ID 837027231

Telephone 2084221000
Associated Practice Facility / Clinic
🏢 Boise Vamc Facility NPI 1841258985

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Boise, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
34 Specialists

Practicing in Boise, ID (93 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-08-27
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License ID 54544

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Veterans Administration
54544 (ID)
Commercial Insurance / Payer ID Idaho Baord Of Nursing
54544 (ID)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jessica Bernotski , RDH

Dental Hygienist

NPI 1003295999

Registered Dental Hygienist

Dr. Luke Hansen , MD

Psychiatry & Neurology - Psychiatry

NPI 1003521253

Doctor of Medicine (M.D.)

Christopher Gutierrez

Registered Nurse - Gastroenterology

NPI 1003559683
Dr. Michael Glover , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1013235423

Doctor of Medicine (M.D.)

Dr. Ann Trotter , PhD

Psychologist - Clinical

NPI 1013494442

Doctor of Philosophy (Ph.D.)

NPI 1013516293

RNBC, Bachelor of Science in Nursing

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 28, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2020

Registered at 500 W FRONT ST, BOISE, ID 837027231 (Tel: 2084221000)

📍
Updated Business Mailing Address August 28, 2020

Registered at 500 W FRONT ST, BOISE, ID 837027231 (Tel: 2084221000)

👤
Provider Name / Credentials Updated August 28, 2020

Recorded as JOHN SHAFFER, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2020

Licensed Practical Nurse (License #54544 in ID)

🟢
Initial NPI Registration & Enumeration August 28, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396358438
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2020
Last Update: August 28, 2020
Sole Proprietor: No

Mailing Address

500 W Front St

Boise, ID 837027231

Phone: 2084221000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.