MS. SHIRLEY EDNA VANZANDT (CRNP) – Adult Health Nurse Practitioner, NPI 1700076312

MS. SHIRLEY EDNA VANZANDT (CRNP) is a healthcare provider. based in Meridian, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. R090943 (MD). The NPI Number for MS. SHIRLEY EDNA VANZANDT (CRNP) is 1700076312

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
MS. SHIRLEY EDNA VANZANDT (CRNP)
NPI
1700076312
Phone
(208) 302-6400
Address
3025 W CHERRY LANE
Enumeration Date
30 July 2007
Last Update Date
10 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
0446473748
Group Practice PAC ID
3476462359
Professional Enrollment ID
I20140513001602
Address ID
ID836428531ME3025XLNXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

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Provider Addresses for MS. SHIRLEY EDNA VANZANDT (CRNP)

  • 3025, West Cherry Lane, Meridian, Ada County, Idaho, 83642, United States

    STE B

    MERIDIAN, ID 836428531

    Phone: (208) 302-6400

    Fax: (208) 302-6455

    Type: Location

  • 3340 E GOLDSTONE WAY

    MERIDIAN, ID 836421026

    Phone: (208) 302-6400

    Fax: (208) 302-6455

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $304.

Total Amount is formed as General ($304) + Research ($0) + Ownership ($0) = $304.

Last reported payment date: 2024-02-23 • Largest payer in this snapshot: HARMONY BIOSCIENCES LLC ($179).

Total Amount

$304

General + Research + Ownership

Payments

2

Total payment records

General Amount

$304

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-23

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: 2014-05-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140513001602INurse PractitionerIDTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes14599$0
99214Established patient office or other outpatient visit, 30-39 minutes3130$0
View full utilization report →

Insurance plans in this area (ZIP 83642)

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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: 3476462359View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MS. SHIRLEY EDNA VANZANDT (CRNP)?
NPI 1700076312 is assigned to MS. SHIRLEY EDNA VANZANDT (CRNP) under the national enumeration system.
Is MS. SHIRLEY EDNA VANZANDT (CRNP) currently active in the NPI registry?
CMS-published data lists MS. SHIRLEY EDNA VANZANDT (CRNP) as an active registrant.
What does MS. SHIRLEY EDNA VANZANDT (CRNP) treat or focus on?
Patients typically see MS. SHIRLEY EDNA VANZANDT (CRNP) under the specialty Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. SHIRLEY EDNA VANZANDT (CRNP)?
The page summarizes Meridian, Idaho for MS. SHIRLEY EDNA VANZANDT (CRNP); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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