Active NPI
Shauna Rankin
- Family Nurse Practitioner
- Wilder, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 72982
- Practice address
- 27591 Petolla Rd
Wilder, ID 83676-5740 - Phone
- (208) 375-8427
- NPI assigned
- May 26, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 23
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Garden City, ID
- NPI 1568413920
Family Medicine, ID
-
- Family Medicine Physician
- Meridian, ID
- NPI 1033534276
-
- Family Medicine Physician
- Eagle, ID
- NPI 1063658300
-
- Family Medicine Physician
- Meridian, ID
- NPI 1306348602
-
- Family Medicine Physician
- Boise, ID
- NPI 1316183601
-
- Family Medicine Physician
- Boise, ID
- NPI 1316183668
-
- Family Medicine Physician
- Boise, ID
- NPI 1396981643
-
- Family Medicine Physician
- Meridian, ID
- NPI 1407092794
-
- Family Medicine Physician
- Nampa, ID
- NPI 1457868002
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Caldwell, ID
- NPI 1043048374
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alliance Medical Group LLC
Practice addresses (Care Compare)
512 N 21St Ave
Caldwell, ID 83605-4368
Phone (208) 809-2875
Hospital & facility affiliations
- Horizon Home Health West
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.87 of 100
- Quality
- 77.29
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 74.78
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220712002918 | ID | Practitioner - Nurse Practitioner | 6406236199 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72982 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Horizons Inc | Current | Accepting new patients | |
| Alliance Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Alliance Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| All Horizons, Inc. | Current | Accepting new patients | |
| Alliance Medical Group, LLC | Family Medicine | Past | Accepting new patients |
| All Seasons Mental Health | Past | Accepting new patients |
Locations
300 W Myrtle St
Ste 100
Boise, ID 83702
Phone (208) 472-9082
950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689
6933 W Emerald St
Boise, ID 83704
Phone (208) 321-0634
6933 W Emerald St
Ste A
Boise, ID 83704
7350 W Victory Rd
Boise, ID 83709
Phone (208) 809-2888
4815 Cleveland Blvd
Caldwell, ID 83605
Phone (208) 455-3545
512 N 21st Ave
Caldwell, ID 83605
Phone (208) 809-2875
1895 McGrath Rd
Eagle, ID 83616
Phone (208) 939-8200
435 S Eagle Rd
Ste 100
Eagle, ID 83616
Phone (208) 609-9130
10482 W Carlton Bay Dr
Garden City, ID 83714
Phone (208) 454-9690
5601 W Chinden Blvd
Garden City, ID 83714
Phone (208) 809-2865
1623 S Wells Ave
Meridian, ID 83642
Phone (208) 489-1450
260 S Ten Mile Rd
Meridian, ID 83642
Phone (208) 809-2872
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- shauna.rankin@phmg.eclinicaldirectplus.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 72982 | ID | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
27591 Petolla Rd
Wilder, ID 83676-5740
Mailing address
27591 Petolla Rd
Wilder, ID 83676-5740
Phone (208) 375-8427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 26, 2022.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1740928837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27591 PETOLLA RD",
"city": "WILDER",
"state": "ID",
"postal_code": "836765740",
"telephone_number": "208-375-8427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27591 PETOLLA RD",
"city": "WILDER",
"state": "ID",
"postal_code": "836765740",
"telephone_number": "208-375-8427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANKIN",
"first_name": "SHAUNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-26",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "72982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilder, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.