ROBERT PAUL SHANKS (FNP) – Acute Care Nurse Practitioner, NPI 1861029159

ROBERT PAUL SHANKS (FNP) is a healthcare provider. based in Boise, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 202000267NP-PP (OR). The NPI Number for ROBERT PAUL SHANKS (FNP) is 1861029159

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
ROBERT PAUL SHANKS (FNP)
NPI
1861029159
Phone
(082) 367-5170
Address
PO BOX 190930
Enumeration Date
25 March 2020
Last Update Date
29 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
3870923568
Group Practice PAC ID
3476462359
Professional Enrollment ID
I20230605002323
Address ID
ID836428531ME3025XLNXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

1,802 NURSE PRACTITIONER in ID

Provider Addresses for ROBERT PAUL SHANKS (FNP)

  • PO BOX 190930

    BOISE, ID 837190930

    Phone: (082) 367-5170

    Fax: (208) 367-5180

    Type: Mailing

  • 315 E ELM ST STE 100

    CALDWELL, ID 836054858

    Phone: (208) 302-7150

    Fax: (208) 302-7192

    Type: Location

  • 900 Sunset Dr

    LA Grande, OR 978501387

    Phone: (541) 963-8421

    Fax: (541) 963-1488

    Type: Location

  • 215 E Hawaii Ave

    Nampa, ID 836866011

    Phone: (208) 463-3000

    Type: Location

  • 900 SUNSET DR

    LA GRANDE, OR 978501387

    Phone: (541) 963-8421

    Fax: (541) 963-1488

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-06-05

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
I20200421000735INurse PractitionerORTBD
I20230605002323INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes7874$0
99214Established patient office or other outpatient visit, 30-39 minutes3837$0
81002Urinalysis, manual test3026$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen2524$0
99203New patient office or other outpatient visit, 30-44 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 83719)

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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 number should I use to identify ROBERT PAUL SHANKS (FNP) for billing?
Administrative and clinical systems typically use NPI 1861029159 for ROBERT PAUL SHANKS (FNP).
Should I treat ROBERT PAUL SHANKS (FNP) as an active provider?
Patients and plans typically see ROBERT PAUL SHANKS (FNP) as active in the national extract.
Which specialty label fits ROBERT PAUL SHANKS (FNP)?
NPPES ties ROBERT PAUL SHANKS (FNP) to Acute Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to ROBERT PAUL SHANKS (FNP)?
ROBERT PAUL SHANKS (FNP) shows a connection to Boise, Idaho in registry-derived data.
Why is information missing for ROBERT PAUL SHANKS (FNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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