NPI age
19 years
Enumerated 2006-08-03
● Active
Type 1 · Individual
Nicholas W. Hodgman, MD
Hodgman is 1 of 6 internal medicine providers in Nampa and 1 of 38 in Idaho.
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
ID, IA
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-07-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 38 active internal medicine providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 50% — 50% of peers are multi-state
Subspecialties
1
In the 68% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Practice location
4424 E Flamingo Ave, Ste 300
Nampa, ID 83687
Mailing address
3340 E Goldstone Dr
Meridian, ID 83642
Specialties
-
Internal Medicine PrimaryAn area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical...
-
Internal MedicineAn internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | CA3899 | RR MEDICARE GROUP |
| 01 | POO731202 | RR MEDICARE INDIV |
| 01 | 71960 | MEDICARE GROUP |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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