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SHANNON R VAUGHN NP
NPI 1306006929
Nurse Practitioner - Adult Health in Boise, ID

Active since June 17, 2008PECOS Enrolled
300 E JEFFERSON ST, SUITE 101, BOISE, ID 83712(208) 322-1680(208) 685-2282 Get Directions Write a Review

NPPES record last updated: August 21, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon R Vaughn Np NPPES

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

SHANNON R VAUGHN NP (NPI 1306006929) is an individual adult health provider in Boise, Idaho, licensed in Idaho (NP870A) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306006929
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSHANNON R VAUGHNCredential: NP
Location Address300 E JEFFERSON ST, SUITE 101Boise, ID 83712-6246
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 336-4141
Phone(208) 322-1680
Fax(208) 685-2282
Sole ProprietorNo
Enumeration DateJune 17, 2008
Last NPPES UpdateAugust 21, 2012
✔ NPI 1306006929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in ID · NP870A
300 E JEFFERSON ST, Boise, ID 83712
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN20000917ID

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon R Vaughn Np 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
41 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83712 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$119.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. CATHERINE M OLIPHANT PHARMD
Pharmacist (Pharmacotherapy)
300 E JEFFERSON ST, SUITE 201
BOISE, ID 83712
Ada County (208) 381-4146
EMILY BARNETT LMSW
Social Worker
300 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 388-7113
MARCOS DACCARETT MD
Internal Medicine (Clinical Cardiac Electrophysiology)
300 E JEFFERSON ST, STE 101
BOISE, ID 83712
Ada County (208) 336-4141
CHERISH L SMITH PA
Physician Assistant
300 E JEFFERSON ST, SUITE 300
BOISE, ID 83712
Ada County (208) 381-4100
JESSICA BRUCE
Nurse Practitioner
300 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-4100
KAREN EAST MD
Internal Medicine
300 E JEFFERSON ST, STE 300
BOISE, ID 83712
Ada County (208) 381-4100
ROGER THOMAS TURCOTTE JR. M.D.
Internal Medicine
300 E JEFFERSON ST, SUITE 201
BOISE, ID 83712
Ada County (208) 381-4100
AMY SCHELL MD
Internal Medicine
300 E JEFFERSON ST, STE 300
BOISE, ID 83712
Ada County (208) 381-4100

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 Shannon Vaughn's NPI number?

The NPI number for Shannon Vaughn is 1306006929. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is Shannon Vaughn located?

Shannon Vaughn practices at 300 E Jefferson St Suite 101, Boise, ID 83712. The listed phone number is (208) 322-1680.

What is Shannon Vaughn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Shannon Vaughn enrolled in Medicare?

Yes. Shannon Vaughn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Vaughn was last updated on August 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.