SHAWN STADLBAUER DC
NPI 1447973250
Chiropractor in Meridian, ID

Active since September 26, 2022Accepts Medicare Assignment
4771 N SUMMIT WAY STE 110, MERIDIAN, ID 83646(208) 994-4747 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 23, 2023, Sep 29, 2022 (2 updates tracked since 2022).

About Shawn Stadlbauer Dc NPPES

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

SHAWN STADLBAUER DC (NPI 1447973250) is an individual chiropractor in Meridian, Idaho, licensed in Idaho (CHIA-2301) and active in the NPI registry since September 2022. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1447973250
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameSHAWN STADLBAUERCredential: DC
Location Address4771 N SUMMIT WAY STE 110Meridian, ID 83646-5017
Mailing Address4771 N Summit Way Ste 110Meridian, ID 83646-5017 · (208) 994-4747
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 26, 2022
Last NPPES UpdateOctober 23, 20232 updates tracked since enumeration
NPPES CertifiedOctober 23, 2023
✔ NPI 1447973250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in ID · CHIA-2301
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4771 N SUMMIT WAY STE 110, Meridian, ID 83646

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shawn Stadlbauer Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012437726
PECOS Enrollment IDI20250225003088

Medicare Billing Reassignment

Medicare enrollment records show Shawn Stadlbauer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Chiropractor
4771 N SUMMIT WAY STE 110
Meridian, ID 83646
  • Reassigned Medicare billing, Idaho enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

Chiropractor
4771 N SUMMIT WAY STE 110
MERIDIAN, ID 83646
Chiropractor
4771 N SUMMIT WAY STE 110
MERIDIAN, ID 83646
Family Medicine
4771 N SUMMIT WAY STE 110
MERIDIAN, ID 83646

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 Shawn Stadlbauer's NPI number?

The NPI number for Shawn Stadlbauer is 1447973250. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Shawn Stadlbauer located?

Shawn Stadlbauer practices at 4771 N Summit Way Ste 110, Meridian, ID 83646. The listed phone number is (208) 994-4747.

What is Shawn Stadlbauer's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Shawn Stadlbauer enrolled in Medicare?

Yes. Shawn Stadlbauer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shawn Stadlbauer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Stadlbauer reassigns Medicare benefits to Health Spark, LLC (Meridian, ID). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shawn Stadlbauer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shawn Stadlbauer accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Shawn Stadlbauer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shawn Stadlbauer was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.