SHANDRA DEE AVERETT (FNP-C) – Family Nurse Practitioner, NPI 1720580848
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
54 CERTIFIED NURSE MIDWIFE (CNM) in ID
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Provider Addresses for SHANDRA DEE AVERETT (FNP-C)
357 W 170 N
BLACKFOOT, ID 832215614
Phone:
Type: Mailing
Bingham Memorial Hospital, 98, Poplar Street, Blackfoot, Bingham County, Idaho, 83221, United States
BLACKFOOT, ID 832211758
Phone: (208) 785-4100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $388.
Total Amount is formed as General ($388) + Research ($0) + Ownership ($0) = $388.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Astellas Pharma US Inc ($183).
Total Amount
$388
General + Research + Ownership
Payments
15
Total payment records
General Amount
$388
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $183 |
| ABBVIE INC. | $71 |
| COLOPLAST CORP | $39 |
| Myriad Women's Health, Inc. | $33 |
| Becton, Dickinson and Company | $21 |
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: 2021-09-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180412001738 | I | Nurse Practitioner | ID | TBD |
| I20210920001616 | I | Certified Nurse Midwife (Cnm) | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83221)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Internal Medicine, Pediatric Medicine | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| Orthopedic Surgery, Sports Medicine | ID | |
| Physician Assistant | ID | |
| H E M A T O L O G Y/ O N C O L O G Y | ID | |
| N E U R O L O G Y | ID | |
| Physician Assistant | ID | |
| Internal Medicine, Endocrinology | WY | |
| Family Practice | ID |
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