SHANNON C. THISTLE PA-C
NPI 1871603902
Physician Assistant in Coeur D Alene, ID

Q: What is Shannon Thistle's NPI number?

The NPI number for Shannon Thistle is 1871603902. It was assigned to this individual provider in the NPPES registry on August 30, 2006. The provider is also known as Shannon C Miller.

Q: What is Shannon Thistle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Thistle was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 August 30, 2006PECOS EnrolledAccepts Medicare Assignment

94.91/100

CMS Quality Rating

700 W IRONWOOD DR STE 320, COEUR D ALENE, ID 83814(208) 625-5250(208) 625-5251 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 29, 2024, Oct 27, 2023, Oct 12, 2020 and 1 more (4 updates tracked since 2016).

On this page

About Shannon C. Thistle Pa-c NPPES

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

SHANNON C. THISTLE PA-C (NPI 1871603902) is an individual physician assistant in Coeur D Alene, Idaho, licensed in Idaho (PA-2265) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1871603902

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHANNON C. THISTLECredential: PA-C

Location Address700 W IRONWOOD DR STE 320Coeur D Alene, ID 83814-4485

Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 625-5084

Phone(208) 625-5250

Fax(208) 625-5251

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateAugust 30, 2006

Last NPPES UpdateJuly 25, 20254 updates tracked since enumeration

NPPES CertifiedJuly 25, 2025

✔ NPI 1871603902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ID · PA-2265

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA61086741 (WA), MA058013 (PA)

700 W IRONWOOD DR STE 320, Coeur D Alene, ID 83814

Open in Google Maps ↗

Other Names 1

Former Name (1)Shannon C Miller

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Shannon C. Thistle Pa-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.

PECOS PAC ID9133367071

PECOS Enrollment IDI20220708001607

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 5

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.

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.

269 services113 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

40 services40 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

30 services25 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

25 services25 patients

Test for exercise-induced lung stress 94618

An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.

24 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number130049

Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County

Emergency services Birthing friendly

Boundary Community Hospital

Critical Access Hospitals · Bonners Ferry, ID

OwnershipVoluntary non-profit - Other

CMS Certification Number131301

Location6640 Kaniksu StreetBonners Ferry, ID 83805 · Boundary County

Emergency services

Benewah Community Hospital

Critical Access Hospitals · St Maries, ID

OwnershipGovernment - Local

CMS Certification Number131317

Location229 South 7th StreetSt Maries, ID 83861 · Benewah County

Emergency services

Gritman Medical Center

Critical Access Hospitals · Moscow, ID

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number131327

Location700 South Main StreetMoscow, ID 83843 · Latah County

Emergency services

Bonner General Hospital

Critical Access Hospitals · Sandpoint, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131328

Location520 North Third AvenueSandpoint, ID 83864 · Bonner County

Emergency services

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

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.91/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.83

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 9

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

EDWARD J MACINERNEY M.D.

Internal Medicine (Cardiovascular Disease)