Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sergey Kashubin, NP-C

Individual provider Family Nurse Practitioner · NPI 1912569351

Sergey Kashubin, NP-C is a Family Nurse Practitioner in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2019.

Licensed in
ID
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

10583 W Lake Hazel Rd
Boise, ID 83709-6326
Phone: (208) 302-5950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 56339 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 56339 (ID)

Record details

NPI number1912569351
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJuly 6, 2019
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients117
Services billed 333 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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