NPI age
20 years
Enumerated 2006-03-20
● Active
Type 1 · Individual
MR. Shane A Maxwell, D.O.
Maxwell is 1 of 4 pain medicine providers in Meridian and 1 of 20 in Idaho.
Primary specialty
Pain Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 20 active pain medicine providers in Idaho.
NPI age
20 years
↑ 2 yr above median (17 yr)
State licenses
1 state
15% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-03Enumerated in NPPES
2006
2026
Where they practice
Practice location
3551 E Overland Rd
Meridian, ID 836426757
Mailing address
Po Box 1128
Boise, ID 837011128
Specialties
-
Pain Medicine PrimaryInterventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807415700 | |
| 05 (ID) | 1508825456 |
Practice context
Part of a multi-provider practice. 6 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.