SHAYNA LARAE HARDING (APRN) – Family Medicine Physician, NPI 1043880669
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,802 NURSE PRACTITIONER in ID
Provider Addresses for SHAYNA LARAE HARDING (APRN)
1133 CALL CREEK DR # A
POCATELLO, ID 832013000
Phone: (208) 232-1000
Fax: (208) 232-1006
Type: Location
652 W MAPLE ST
POCATELLO, ID 832015103
Phone: (208) 221-9992
Type: Mailing
1441 PARKWAY DR
BLACKFOOT, ID 832211667
Phone: (208) 785-2600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 37 Open Payments records for all available years, with a total value of $692.
Total Amount is formed as General ($692) + Research ($0) + Ownership ($0) = $692.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($241).
Total Amount
$692
General + Research + Ownership
Payments
37
Total payment records
General Amount
$692
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $241 |
| Xeris Pharmaceuticals, Inc. | $63 |
| PFIZER INC. | $46 |
| Phathom Pharmaceuticals, Inc. | $36 |
| Astellas Pharma US Inc | $29 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-08-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210817002505 | I | Nurse Practitioner | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 35 | 24 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 13 | 13 | $0 |
Insurance plans in this area (ZIP 83201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Family Practice | ID | |
| Physician Assistant | ID |
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