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SHAWNA MARIE REYNOLDS PA
NPI 1023260783
Physician Assistant in Blackfoot, ID

Active since October 14, 2008PECOS Enrolled
1441 PARKWAY DR, BLACKFOOT, ID 83221(208) 785-2600(208) 785-1762 Get Directions Write a Review

NPPES record last updated: April 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shawna Marie Reynolds Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWNA MARIE REYNOLDS PA (NPI 1023260783) is an individual physician assistant in Blackfoot, Idaho, licensed in Idaho (PA778) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023260783
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHAWNA MARIE REYNOLDSCredential: PA
Location Address1441 PARKWAY DRBlackfoot, ID 83221-0000
Mailing Address1441 Parkway DrBlackfoot, ID 83221-0000 · (208) 785-2600 · Fax (208) 234-0026
Phone(208) 785-2600
Fax(208) 785-1762
Sole ProprietorNo
Enumeration DateOctober 14, 2008
Last NPPES UpdateApril 23, 2012
✔ NPI 1023260783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA778
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA-778 (ID)
1441 PARKWAY DR, Blackfoot, ID 83221
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawna Marie Reynolds Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83221 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER FAYE GRIMMETT PA
Physician Assistant
1441 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-2600
JULENE M PARSON
Pediatrics
1441 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-2600
BLACKFOOT MEDICAL CLINIC RHC
Family Medicine
1441 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-2600
DEBRA ERRAMOUSPE PA
Physician Assistant
1441 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-2600
DANIELLE E BANGERTER FNP-C
Nurse Practitioner (Family)
1441 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-2500
BRIAN DON BOEHME
Physical Therapist
1441 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-2600
RHONDA GRANDEE PA
Physician Assistant
1441 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-2600
MATTHEW J FACKRELL DO
Family Medicine
1441 PARKWAY DR
BLACKFOOT, ID 83221
Bingham County (208) 785-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawna Reynolds's NPI number?

The NPI number for Shawna Reynolds is 1023260783. It was assigned to this individual provider in the NPPES registry on October 14, 2008.

Where is Shawna Reynolds located?

Shawna Reynolds practices at 1441 Parkway Dr, Blackfoot, ID 83221. The listed phone number is (208) 785-2600.

What is Shawna Reynolds's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shawna Reynolds enrolled in Medicare?

Yes. Shawna Reynolds is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shawna Reynolds was last updated on April 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.