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

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: July 19, 2026.

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

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 maintains a secondary practice location in Wenatchee.

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
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

Other Names 1

Former Name (1)Shannon C Miller

Secondary Practice Location 1

Location 11201 S Miller StWenatchee, WA 98801-3201 · Phone (509) 663-8711

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

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
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.
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
Quality87.83
Promoting Interoperability100
Improvement Activities40

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.

Dentist (General Practice)
700 W IRONWOOD DR STE 320
COEUR D ALENE, ID 83814
Physician Assistant
700 W IRONWOOD DR STE 320
COEUR D ALENE, ID 83814
Nurse Practitioner
700 W IRONWOOD DR STE 320
COEUR D ALENE, ID 83814
Internal Medicine (Interventional Cardiology)
700 W IRONWOOD DR STE 320
COEUR D ALENE, ID 83814
Internal Medicine (Cardiovascular Disease)
700 W IRONWOOD DR STE 320
COEUR D ALENE, ID 83814
Nurse Practitioner (Family)
700 W IRONWOOD DR STE 320
COEUR D ALENE, ID 83814
Internal Medicine (Interventional Cardiology)
700 W IRONWOOD DR STE 320
COEUR D ALENE, ID 83814
Internal Medicine (Interventional Cardiology)
700 W IRONWOOD DR STE 320
COEUR D ALENE, ID 83814

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871603902, enumerated as an "individual" on August 30, 2006.

The provider is located at 700 W IRONWOOD DR STE 320 COEUR D ALENE, ID 83814 and the phone number is (208) 625-5250.

Physician Assistant with taxonomy code 363A00000X.

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

Shannon Thistle is affiliated with: KOOTENAI HEALTH, BOUNDARY COMMUNITY HOSPITAL, BENEWAH COMMUNITY HOSPITAL, GRITMAN MEDICAL CENTER and BONNER GENERAL HOSPITAL.