Doctor profile · Federal record
Dr. Colleen Shackelford, NP
Family Nurse Practitioner · Registered Nurse · Family Nurse Practitioner · Boise, ID
- NPI 1104107317
- 15 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
300 E Bannock St
Boise, ID 837126207
(208) 342-7400
fax (208) 342-1879
Credentials & registration
- NPI registered
- August 2011 — 15 yrs on file
- Profile last updated
- October 4, 2018
- Specialty taxonomy
- 363LF0000X — NUCC code
- State licenses (3)
- Idaho #NP1127A · Idaho #N-41423 · Idaho #NP-1127A
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104107317. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$42
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| McKesson Medical-Surgical, Inc. | 1 | $22.12 | |
| ABBVIE INC. | 1 | $20.26 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
339
Patients
35
Total drug cost
$4,380
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 49 | 19 | $565 |
| Amitriptyline Hcl | Generic | 38 | 0 | $410 |
| Losartan Potassium | Generic | 38 | 16 | $464 |
| Rosuvastatin Calcium | Generic | 27 | 0 | $669 |
| Hydrochlorothiazide | Generic | 24 | 0 | $212 |
| Gabapentin | Generic | 23 | 0 | $461 |
| Escitalopram Oxalate | Generic | 20 | 0 | $369 |
| Amlodipine Besylate | Generic | 18 | 0 | $99 |
| Bupropion Xl (Bupropion Hcl) | Brand | 18 | 0 | $493 |
| Atorvastatin Calcium | Generic | 16 | 0 | $160 |
Frequently asked questions
What is Dr. Colleen Shackelford's medical specialty?
Dr. Colleen Shackelford practices Family Nurse Practitioner in Boise, ID.
Where does Dr. Colleen Shackelford practice?
Dr. Colleen Shackelford practices at 300 E Bannock St, Boise, ID 837126207. Office phone: 2083427400.
What is Dr. Colleen Shackelford's NPI?
Dr. Colleen Shackelford's National Provider Identifier (NPI) is 1104107317, issued by NPPES.