Eagle Family Medicine P a
NPI 1417054693 · Family Medicine Physician · Eagle, ID
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eagle Family Medicine P a is a Family Medicine Physician organization in Eagle, ID (NPI 1417054693).
Provider details
- NPI number
- 1417054693
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shawn Nowierski, Owner(208) 939-3197
- License
- M-7050 (ID)
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
19 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
- 2006-09-20
- Last updated
- 2015-01-05
Frequently asked questions
- What is Eagle Family Medicine P a's NPI number?
- Eagle Family Medicine P a's National Provider Identifier (NPI) is 1417054693, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eagle Family Medicine P a?
- Eagle Family Medicine P a is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Eagle Family Medicine P a located?
- Eagle Family Medicine P a's practice location on file with NPPES is 100 Cottonwood Ct, Eagle, ID 83616-6576.
- What is Eagle Family Medicine P a's phone number?
- The practice phone number listed in the NPPES registry for Eagle Family Medicine P a is (208) 939-3197.
- Does Eagle Family Medicine P a accept Medicare?
- Eagle Family Medicine P a 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 Eagle Family Medicine P a?
- The authorized official listed on Eagle Family Medicine P a's NPPES record is Shawn Nowierski, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eagle Family Medicine P a's NPI active?
- Yes — Eagle Family Medicine P a's NPI (1417054693) is active in the NPPES registry as of the last update on 2015-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.