SHANDRA DEE AVERETT FNP-C
NPI 1720580848
Nurse Practitioner - Family in Blackfoot, ID
About Shandra Dee Averett Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANDRA DEE AVERETT FNP-C (NPI 1720580848) is an individual family provider in Blackfoot, Idaho, licensed in Idaho (58040) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Bingham Memorial Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Shandra Dee Averett Fnp-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bingham Memorial Hospital
Critical Access Hospitals · Blackfoot, IDPhysician 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.
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.
BLACKFOOT, ID 83221
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 Shandra Averett's NPI number?
The NPI number for Shandra Averett is 1720580848. It was assigned to this individual provider in the NPPES registry on March 5, 2018.
Where is Shandra Averett located?
Shandra Averett practices at 98 Poplar St, Blackfoot, ID 83221. The listed phone number is (208) 785-4100.
What is Shandra Averett's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shandra Averett enrolled in Medicare?
Yes. Shandra Averett 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.
What insurance does Shandra Averett accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Shandra Averett 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.
Is Shandra Averett affiliated with any hospitals?
According to CMS data, Shandra Averett is affiliated with Bingham Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Shandra Averett was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Shandra Dee Averett, FNP-C · NPI 1720580848
Family physician in Blackfoot, Idaho. Individual provider, active in the CMS NPPES registry since March 5, 2018.
## Identity
- **NPI:** 1720580848 (Entity type: Individual)
- **Enumerated:** March 5, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 58040 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 98 POPLAR ST, Blackfoot, ID 83221-1758
- **Phone:** (208) 785-4100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1720580848) · Data from the CMS NPPES public registry.