SAVANNAH SHAYNE WARREN – Audiologist, NPI 1861055436

SAVANNAH SHAYNE WARREN is a healthcare provider. based in Idaho falls, Idaho. specializing in QUALIFIED AUDIOLOGIST. They hold a License No. LD61238396 (WA). The NPI Number for SAVANNAH SHAYNE WARREN is 1861055436

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SAVANNAH SHAYNE WARREN
NPI
1861055436
Phone
Not provided
Address
1753 W BROADWAY ST
Enumeration Date
18 April 2019
Last Update Date
21 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5098355111
Graduation Year
2019 (7 years ago)
PAC ID
6103154497
Group Practice PAC ID
2365812088
Professional Enrollment ID
I20221221000872
Address ID
WA992042841SP801XXAVEX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

82 QUALIFIED AUDIOLOGIST in ID

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Provider Addresses for SAVANNAH SHAYNE WARREN

  • 1753, West Broadway Street, Idaho Falls, Bonneville County, Idaho, 83402, United States

    IDAHO FALLS, ID 834023045

    Phone:

    Type: Mailing

  • 801 W 5TH AVE STE 421

    SPOKANE, WA 992042841

    Phone: (509) 835-5111

    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: 2022-12-21

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
I20221221000872IQualified AudiologistWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83402)

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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: 2365812088View full group profile
NameSpecialtyState
Qualified AudiologistWA

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Frequently asked questions

What is the standard ID for SAVANNAH SHAYNE WARREN in the U.S.?
In the U.S., SAVANNAH SHAYNE WARREN is identified by NPI 1861055436.
Does the public listing show SAVANNAH SHAYNE WARREN as active?
SAVANNAH SHAYNE WARREN's NPI record reflects an active status in NPPES.
What does the directory say SAVANNAH SHAYNE WARREN does?
Insurance directories may phrase it differently, but here SAVANNAH SHAYNE WARREN maps to Audiologist. Clinical services aligned with this taxonomy classification.
What city is tied to SAVANNAH SHAYNE WARREN?
The directory associates SAVANNAH SHAYNE WARREN with Idaho Falls, Idaho. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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