SHANNON D. SCHANTZ (M.D.) – Family Medicine Physician, NPI 1215907704

SHANNON D. SCHANTZ (M.D.) is a healthcare provider. based in Payette, Idaho. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. M6302 (ID). The NPI Number for SHANNON D. SCHANTZ (M.D.) is 1215907704

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON D. SCHANTZ (M.D.)
NPI
1215907704
Phone
(208) 642-9376
Address
1441 NE 10TH AVE
Enumeration Date
25 January 2006
Last Update Date
14 January 2026

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
2083651065
Graduation Year
1989 (37 years ago)
PAC ID
2163472408
Group Practice PAC ID
0547169591
Professional Enrollment ID
I20090709000353
Address ID
ID836173626EM207XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

971 FAMILY PRACTICE in ID

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Provider Addresses for SHANNON D. SCHANTZ (M.D.)

  • 1441, Northeast 10th Avenue, Payette, Payette County, Idaho, 83661, United States

    PAYETTE, ID 836615420

    Phone: (208) 642-9376

    Fax: (208) 642-9598

    Type: Location

  • 207 E 12TH ST

    EMMETT, ID 836173626

    Phone: (208) 365-1065

    Fax: (208) 365-1065

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $1,055.

Total Amount is formed as General ($1,055) + Research ($0) + Ownership ($0) = $1,055.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($175).

Total Amount

$1,055

General + Research + Ownership

Payments

52

Total payment records

General Amount

$1,055

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050125000726IFamily PracticeIDTBD
I20080922000610IFamily PracticeORTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83036Hemoglobin a1c level3818$0
36415Insertion of needle into vein for collection of blood sample2117$0
View full utilization report →

Insurance plans in this area (ZIP 83661)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547169591View full group profile
NameSpecialtyState
Physician AssistantID
Nurse PractitionerID
Physician AssistantID
-OR
Emergency Medicine, Family PracticeOR
Nurse PractitionerID
-ID
-ID
Physician AssistantTX
Physician AssistantOR

Reviews

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Frequently asked questions

Where can patients find SHANNON D. SCHANTZ (M.D.)'s NPI?
You can confirm SHANNON D. SCHANTZ (M.D.) with NPI 1215907704; it appears in the national provider directory.
Is SHANNON D. SCHANTZ (M.D.) currently active in the NPI registry?
CMS-published data lists SHANNON D. SCHANTZ (M.D.) as an active registrant.
Does SHANNON D. SCHANTZ (M.D.) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for SHANNON D. SCHANTZ (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place SHANNON D. SCHANTZ (M.D.)?
The snapshot lists Payette, Idaho for SHANNON D. SCHANTZ (M.D.); download NPPES for the complete set.
Is SHANNON D. SCHANTZ (M.D.) a real provider?
This page reflects official NPPES data for NPI 1215907704. Always confirm identity and privileges with the practice and licensing boards.