Shannon Gardiner, PA
NPI 1689701260 · Surgical Physician Assistant · Meridian, ID
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Gardiner, PA is a Surgical Physician Assistant provider in Meridian, ID (NPI 1689701260).
Provider details
- NPI number
- 1689701260
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA403 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
641 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) |
|---|---|---|
| Removal of Impacted Ear Wax69210 | 186 | $36 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 160 | $100 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 145 | $71 |
| Diagnostic Exam of Voice Box Using a Flexible Endoscope31575 | 59 | $97 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 37 | $127 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Famotidine | 131 | 39 |
| Omeprazole | 129 | 34 |
| Fluticasone Propionate | 89 | 42 |
| Ipratropium Bromide | 68 | 33 |
| Mupirocin | 55 | 36 |
| Azelastine Hcl | 48 | 20 |
| Levothyroxine Sodium | 42 | — |
| Pilocarpine Hcl | 35 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$210 across 4 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
Additional practice locations (1)
- 360 E Montvue DrSuite 100Meridian, ID 83642-6318Phone: (208) 855-2900Fax: (208) 898-9877
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2024-04-24
- Certified
- 2024-04-24
Frequently asked questions
- What is Shannon Gardiner's NPI number?
- Shannon Gardiner's National Provider Identifier (NPI) is 1689701260, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Gardiner's specialty?
- Shannon Gardiner is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shannon Gardiner located?
- Shannon Gardiner's practice location on file with NPPES is 875 S Vanguard Way Ste 200, Meridian, ID 83642-8542.
- What is Shannon Gardiner's phone number?
- The practice phone number listed in the NPPES registry for Shannon Gardiner is (208) 809-2895.
- Does Shannon Gardiner accept Medicare?
- Shannon Gardiner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Gardiner's NPI active?
- Yes — Shannon Gardiner's NPI (1689701260) is active in the NPPES registry as of the last update on 2024-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.