P Praxis·MD
● Active Type 1 · Individual

DR. Dimitri Shchadenko, FNP

Nurse Practitioner·Idaho Falls, ID· NPI 1104489343 · Enumerated 2019 · 7 years on NPI
Shchadenko is 1 of 105 nurse practitioner providers in Idaho Falls and 1 of 1280 in Idaho.
NPI age
7 years
Enumerated 2019-04-14
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2026-03-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
7 years
≈ at median (7 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-04Enumerated in NPPES
2019 2026

Where they practice

Practice location
2065 E 17th St Ste A
Idaho Falls, ID 834048042
📞 8006403451
Mailing address
2885 Nw 10th Ave
Meridian, ID 836463159

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1000 N Curtis Rd Ste 105
Boise, ID 837061345
📞 6502846595

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #67946CA license #95010927 taxonomy 363LF0000X

Practice context

Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new nurse practitioner providers have been added in Idaho Falls in the last 180 days. See all →
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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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