Shannon Mortensen, N.P.
NPI 1104919695 · Nurse Practitioner · Coeur D'Alene, ID
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Mortensen, N.P. is a Nurse Practitioner provider in Coeur D'Alene, ID (NPI 1104919695).
Provider details
- NPI number
- 1104919695
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- License
- N-31561 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
4,650 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 2,300 | $5 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 817 | $73 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 601 | $46 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 219 | $45 |
| Destruction of Skin Growth, 1-14 Growths17110 | 189 | $90 |
| Biopsy of Related Skin Growth, First Growth |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clobetasol Propionate | 89 | 55 |
| Ketoconazole | 57 | 28 |
| Triamcinolone Acetonide | 48 | 38 |
| Ixekizumabbrand: Taltz Autoinjector | 45 | — |
| Betamethasone Dipropionate | 41 | 28 |
| Nystatin | 35 | 23 |
| Hydrocortisone | 32 | 25 |
| Fluorouracil | 28 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$570 across 38 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2009-02-05
Frequently asked questions
- What is Shannon Mortensen's NPI number?
- Shannon Mortensen's National Provider Identifier (NPI) is 1104919695, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Mortensen's specialty?
- Shannon Mortensen is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shannon Mortensen located?
- Shannon Mortensen's practice location on file with NPPES is 2288 Merritt Creek Loop, Coeur D'Alene, ID 83814.
- What is Shannon Mortensen's phone number?
- The practice phone number listed in the NPPES registry for Shannon Mortensen is (208) 665-7546.
- Does Shannon Mortensen accept Medicare?
- Shannon Mortensen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Mortensen's NPI active?
- Yes — Shannon Mortensen's NPI (1104919695) is active in the NPPES registry as of the last update on 2009-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.