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MRS. SHANNON L GARDINER PA
NPI 1689701260
Physician Assistant - Surgical in Meridian, ID

Active since February 28, 2007PECOS EnrolledAccepts Medicare Assignment
875 S VANGUARD WAY STE 200, MERIDIAN, ID 83642(208) 809-2895(208) 809-2896 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 24, 2024, Nov 1, 2023, Nov 17, 2022 (3 updates tracked since 2022).

About Mrs. Shannon L Gardiner Pa NPPES

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

MRS. SHANNON L GARDINER PA (NPI 1689701260) is an individual surgical provider in Meridian, Idaho, licensed in Idaho (PA-403) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1689701260
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. SHANNON L GARDINERCredential: PA
Location Address875 S VANGUARD WAY STE 200Meridian, ID 83642-8542
Mailing AddressPo Box 191050Boise, ID 83719-1050 · (208) 985-1423 · Fax (208) 955-6501
Phone(208) 809-2895
Fax(208) 809-2896
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 28, 2007
Last NPPES UpdateApril 24, 20243 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1689701260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in ID · PA-403
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA403 (ID)
875 S VANGUARD WAY STE 200, Meridian, ID 83642
Open in Google Maps ↗

Secondary Practice Location 1

Location 1360 E Montvue Dr, Suite 100Meridian, ID 83642-6318 · Phone (208) 855-2900 · Fax (208) 898-9877

Other Identifiers 1

Medicaid806483300ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shannon L Gardiner Pa 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 ID2264481571
PECOS Enrollment IDI20050113000517
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 7

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
186 services94 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
160 services87 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
145 services85 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
59 services37 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
28 services28 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

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.

SOUTHERN IDAHO HEALTH PARTNERS DBA SALTZER CLINICS
Ambulance (Land Transport)
875 S VANGUARD WAY STE 200
MERIDIAN, ID 83642
Ada County (208) 463-3244
DR. JACOB SCOTT MAJORS M.D.
Otolaryngology
875 S VANGUARD WAY STE 200
MERIDIAN, ID 83642
Ada County (208) 809-2895
IDAHO VOICE AND SWALLOW CENTER LLC
Speech-Language Pathologist
875 S VANGUARD WAY STE 200
MERIDIAN, ID 83642
Ada County (208) 298-9949

Frequently Asked Questions

What is Shannon Gardiner's NPI number?

The NPI number assigned to this healthcare provider is 1689701260, enumerated as an "individual" on February 28, 2007.

Where is the provider located?

The provider is located at 875 S VANGUARD WAY STE 200 MERIDIAN, ID 83642 and the phone number is (208) 809-2895.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

What insurance does Shannon Gardiner accept?

The provider might be accepting Accepts: Moda Health Plan, Inc., PacificSource Health. Please consult your insurance carrier or call the provider to verify.

Is Shannon Gardiner affiliated with any hospitals?

Shannon Gardiner is affiliated with: ST LUKE'S REGIONAL MEDICAL CENTER, SAINT ALPHONSUS REGIONAL MEDICAL CENTER, SAINT ALPHONSUS MEDICAL CENTER - NAMPA and ST LUKE'S NAMPA MEDICAL CENTER.