Physician Management Services of Idaho, LLC
NPI 1215688346 · Family Medicine Physician · Shoshone, ID
Enrolled with Medicare as Part B Supplier - Centralized Flu Biller · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Physician Management Services of Idaho, LLC is a Family Medicine Physician organization in Shoshone, ID (NPI 1215688346).
Provider details
- NPI number
- 1215688346
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Vaxcare Corporation
- Organization subpart
- Yes
- Authorized official
- Brett Kenefick, President(888) 829-8550
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-01-11
- Last updated
- 2022-01-11
- Certified
- 2022-01-11
Frequently asked questions
- What is Physician Management Services of Idaho, LLC's NPI number?
- Physician Management Services of Idaho, LLC's National Provider Identifier (NPI) is 1215688346, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Physician Management Services of Idaho, LLC?
- Physician Management Services of Idaho, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Physician Management Services of Idaho, LLC located?
- Physician Management Services of Idaho, LLC's practice location on file with NPPES is 113 S Apple St, Shoshone, ID 83352-5287.
- What is Physician Management Services of Idaho, LLC's phone number?
- The practice phone number listed in the NPPES registry for Physician Management Services of Idaho, LLC is (888) 829-8550.
- Does Physician Management Services of Idaho, LLC accept Medicare?
- Physician Management Services of Idaho, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Physician Management Services of Idaho, LLC?
- The authorized official listed on Physician Management Services of Idaho, LLC's NPPES record is Brett Kenefick, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Physician Management Services of Idaho, LLC's NPI active?
- Yes — Physician Management Services of Idaho, LLC's NPI (1215688346) is active in the NPPES registry as of the last update on 2022-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.