NAOMI ELIZABETH SHANTZ (FNP-C) – Family Nurse Practitioner, NPI 1316503774

NAOMI ELIZABETH SHANTZ (FNP-C) is a healthcare provider. based in Salem, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 201903531NP-PP (OR). The NPI Number for NAOMI ELIZABETH SHANTZ (FNP-C) is 1316503774

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
NAOMI ELIZABETH SHANTZ (FNP-C)
NPI
1316503774
Phone
(503) 508-3495
Address
4875 Chan St S
Enumeration Date
11 May 2019
Last Update Date
25 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5033047600
Graduation Year
2018 (8 years ago)
PAC ID
3779813340
Group Practice PAC ID
1759307796
Professional Enrollment ID
I20211019000196
Address ID
OR973051119SA3750XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for NAOMI ELIZABETH SHANTZ (FNP-C)

  • 4875 Chan St S

    Salem, OR 973062414

    Phone: (503) 508-3495

    Type: Location

  • 444, Northwest Elks Drive, Corvallis, Benton County, Oregon, 97330, United States

    CORVALLIS, OR 973303745

    Phone: (541) 754-1150

    Type: Mailing

  • 3680, Northwest Samaritan Drive, Corvallis, Benton County, Oregon, 97330, United States

    CORVALLIS, OR 97330

    Phone: (541) 754-1150

    Type: Location

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: 2021-10-19

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
I20211019000196INurse PractitionerTXTBD

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 minutes9638$0
80053Blood test, comprehensive group of blood chemicals8438$0
83036Hemoglobin a1c level4120$0
99214Established patient office or other outpatient visit, 30-39 minutes3627$0
80061Blood test, lipids (cholesterol and triglycerides)3525$0
View full utilization report →

Insurance plans in this area (ZIP 97306)

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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: 1759307796View full group profile

Reviews

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Frequently asked questions

Is there an official ID for NAOMI ELIZABETH SHANTZ (FNP-C) in U.S. healthcare records?
The official identifier for NAOMI ELIZABETH SHANTZ (FNP-C) is NPI 1316503774.
Is NAOMI ELIZABETH SHANTZ (FNP-C) shown as active in public data?
Registry records indicate NAOMI ELIZABETH SHANTZ (FNP-C) maintains an active NPI.
What area of care is associated with NAOMI ELIZABETH SHANTZ (FNP-C)?
NAOMI ELIZABETH SHANTZ (FNP-C)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for NAOMI ELIZABETH SHANTZ (FNP-C)?
Travel planning: use Salem, Oregon as the reference point for NAOMI ELIZABETH SHANTZ (FNP-C), then confirm.
Does NAOMI ELIZABETH SHANTZ (FNP-C) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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