P Praxis·MD
● Active Type 1 · Individual

DR. Shane Gary MacHen, D.O.

Family Medicine·Idaho Falls, ID· NPI 1932330370 · Enumerated 2009 · 16 years on NPI
MacHen is 1 of 82 family medicine providers in Idaho Falls and 1 of 1691 in Idaho.
NPI age
16 years
Enumerated 2009-08-03
Primary specialty
Family Medicine
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-12-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1691 active family medicine providers in Idaho.

NPI age
16 years
≈ at median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-08Enumerated in NPPES
2009 2026

Where they practice

Practice location
1995 E 17th St
Idaho Falls, ID 834046493
📞 2085227666fax 2085242821
Mailing address
1995 E 17th St
Idaho Falls, ID 834046493
📞 2085227666fax 2085242821

Specialties

  • Family Medicine Primary
    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...
    ID license #O-0611 taxonomy 207Q00000X

Practice context

Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 1691 Family Medicine providers in Idaho?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

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.

Related