P Praxis·MD
● Active Type 1 · Individual

DR. Shane Nathaniel McCauley, MD

Preventive Medicine·Boise, ID· NPI 1083603229 · Enumerated 2005 · 20 years on NPI
McCauley is 1 of 8 preventive medicine providers in Boise and 1 of 15 in Idaho.
NPI age
20 years
Enumerated 2005-10-20
Primary specialty
Preventive Medicine
Plus 4 subspecialties
Licensed in
ID, IN
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-11-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 15 active preventive medicine providers in Idaho.

NPI age
20 years
≈ at median (19 yr)
State licenses
2 states
Top 80% — 20% of peers are multi-state
Subspecialties
3
In the 33% of peers with subspecialties

NPI lifetime · 2005 → 2026

2005-10Enumerated in NPPES
2005 2026

Where they practice

Practice location
6051 W Emerald St
Boise, ID 83704
📞 2083027600fax 2083027605
Mailing address
3340 E Goldstone Dr.
Meridian, ID 83642
📞 2083027600fax 2083027605

Specialties

  • Preventive Medicine Primary
    Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures....
    ID license #M-14730 taxonomy 2083X0100X
  • Family Medicine
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    IN license #01059435AID license #M-14730 taxonomy 207Q00000X
  • Military Health Care Provider
    Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
    IN license #01059435A taxonomy 171000000X
  • Preventive Medicine
    Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation...
    IN license #01059435A taxonomy 2083A0100X

Practice context

Part of a multi-provider practice. 53 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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