SHELLY CRANE AGNP-C
NPI 1104465558
Nurse Practitioner - Primary Care in Coeur D Alene, ID

Q: What is Shelly Crane's NPI number?

The NPI number for Shelly Crane is 1104465558. It was assigned to this individual provider in the NPPES registry on January 2, 2020.

Q: What is Shelly Crane's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Crane was last updated on January 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 02, 2020PECOS Enrolled

915 W EMMA AVE, COEUR D ALENE, ID 83814(208) 791-3391 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shelly Crane Agnp-c NPPES

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

SHELLY CRANE AGNP-C (NPI 1104465558) is an individual primary care provider in Coeur D Alene, Idaho, licensed in Idaho (39760) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104465558

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameSHELLY CRANECredential: AGNP-C

Location Address915 W EMMA AVECoeur D Alene, ID 83814-2531

Mailing Address2900 N Government Way # 294Coeur D Alene, ID 83815-3751 · (208) 791-3391

Phone(208) 791-3391

Sole ProprietorNo

Enumeration DateJanuary 2, 2020

✔ NPI 1104465558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in ID · 39760

915 W EMMA AVE, Coeur D Alene, ID 83814

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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)

Shelly Crane Agnp-c 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 83814 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

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

Most-billed visit code 99214

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 11

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

MAMIE NORA MITCHELL LMSW

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