DR. JAMES RYAN SHACKELFORD (MD) – Psychiatry Physician, NPI 1639217359

DR. JAMES RYAN SHACKELFORD (MD) is a healthcare provider. based in Boise, Idaho. specializing in Psychiatry Physician. They hold the professional credentials MD. They hold a License No. NONE (CA). The NPI Number for DR. JAMES RYAN SHACKELFORD (MD) is 1639217359

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES RYAN SHACKELFORD (MD)
NPI
1639217359
Phone
(208) 297-3698
Address
1525 S OWYHEE ST
Enumeration Date
2 February 2007
Last Update Date
20 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
2085142510
Graduation Year
2006 (20 years ago)
PAC ID
3678729233
Group Practice PAC ID
6709986797
Professional Enrollment ID
I20160919002547
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for DR. JAMES RYAN SHACKELFORD (MD)

  • 1525 S OWYHEE ST

    BOISE, ID 837056014

    Phone: (208) 297-3698

    Fax: (208) 561-8051

    Type: Mailing

  • 777, North Raymond Street, Boise Junction, Boise, Ada County, Idaho, 83704, United States

    BOISE, ID 837049251

    Phone: (208) 514-2500

    Fax: (208) 375-2217

    Type: Mailing

  • 211 16th Ave N

    Nampa, ID 836874058

    Phone: (208) 467-4431

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83705)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709986797View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. JAMES RYAN SHACKELFORD (MD)?
Save NPI 1639217359 if you need a stable reference for DR. JAMES RYAN SHACKELFORD (MD).
Is DR. JAMES RYAN SHACKELFORD (MD) currently active in the NPI registry?
CMS-published data lists DR. JAMES RYAN SHACKELFORD (MD) as an active registrant.
Can you summarize DR. JAMES RYAN SHACKELFORD (MD)'s specialty in plain language?
Clinically, the directory lists DR. JAMES RYAN SHACKELFORD (MD) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JAMES RYAN SHACKELFORD (MD)'s primary listing?
We display Boise, Idaho because that is what the record indicates for DR. JAMES RYAN SHACKELFORD (MD).
How can I contact DR. JAMES RYAN SHACKELFORD (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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