Individual provider Active NPI

Shannon Binder

  • Family Nurse Practitioner
  • Nampa, ID
National Provider Identifier
1710386396
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP-1485A Issued in ID
Practice address
207 1St St S
Nampa, ID 83651-3703
Phone
(208) 466-7869
Fax
(208) 466-5359
NPI assigned
Aug 19, 2014
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP-1485A ID Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP-1485A ID

Addresses

Primary practice location

207 1St St S
Nampa, ID 83651-3703

Mailing address

PO Box 9
Nampa, ID 83653-0009
Phone (208) 467-4431

Other names 1

  • Shannon Costner Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141017002390 ID Practitioner - Nurse Practitioner 4688895527 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathways of Idaho LLCGroup PAC ID 4789808759, 6 clinicians
Community Health Clinics IncGroup PAC ID 4082527353, 75 clinicians

Practice addresses (Care Compare)

204 10TH Ave S
Nampa, ID 83651-3832
Phone (208) 466-2229

207 1St St S
Nampa, ID 83651-3703
Phone (208) 466-7869

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP-1485AIDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ricardo Ramirezs Counseling PLLC CurrentSince Jun 27, 2023 Accepting new patients
Pathways of Idaho, LLC CurrentSince Nov 1, 2015 Accepting new patients
Community Health Clinics, Inc. CurrentSince Mar 19, 2019 Accepting new patients
Community Health Clinics, Inc. Current Accepting new patients
Community Health Clinics, Inc. Family CurrentSince Mar 19, 2019 Accepting new patients
Preventative Health Family CurrentSince Oct 1, 2014 Accepting new patients
Community Health Clinics, Inc. Family Past Accepting new patients
Community Health Clinics, Inc. Past Accepting new patients

Locations

300 S 23rd St
Boise, ID 83702
Phone (208) 344-3512

400 N Allumbaugh St
Boise, ID 83704
Phone (208) 377-9180

545 N Benjamin Ln
Ste 185
Boise, ID 83704
Phone (208) 322-1026

545 N Benjamin Ln
Ste 185175
Boise, ID 83704

848 S La Cassia Dr
Boise, ID 83705
Phone (208) 344-0086

1305 S Kimball Ave
Caldwell, ID 83605
Phone (208) 459-1039

2005 Arlington Ave
Caldwell, ID 83605
Phone (208) 454-2035

1079 S Ancona Ave
Ste 100
Eagle, ID 83616
Phone (208) 853-2273

108 E Idaho Ave
Homedale, ID 83628
Phone (208) 337-3189

150 2nd St
Melba, ID 83641
Phone (208) 495-1011

3115 E Florence Dr
Meridian, ID 83642
Phone (208) 378-4288

201 S Paradise Ave
Middleton, ID 83644
Phone (208) 585-0048

204 10th Ave S
Nampa, ID 83651
Phone (208) 461-6523

207 1st St S
Nampa, ID 83651
Phone (208) 318-1376

10304 Spotsylvania Ave
Ste 300
Fredericksburg, VA 22408
Phone (540) 710-6085

Interoperability endpoints

  • Direct secure messaging: sbinder337655@direct.ochin.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1710386396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836530009",
            "telephone_number": "208-467-4431",
            "fax_number": "208-466-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 1ST ST S",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513703",
            "telephone_number": "208-466-7869",
            "fax_number": "208-466-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINDER",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP-1485A",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "NP-1485A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "COSTNER",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.