Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Shawna Marie Beechinor, PA

Individual provider Surgical Physician Assistant · NPI 1518291491

MS. Shawna Marie Beechinor, PA is a Physician Assistant in Boise, Idaho. Qualified in 2009, 17 years ago. Practices with Mountain West Derm - Blackhart PLLC, a 103-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
17
Licensed in
ID
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

161 E Mallard Dr Ste 130
Boise, ID 83706-5015
Phone: (208) 991-5207
Fax: (208) 639-6622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-817 (ID)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA-817 (ID)

Record details

NPI number1518291491
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 25, 2009
Last updated in NPPESFebruary 9, 2021
Certification dateFebruary 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Mountain West Derm - Blackhart Pllc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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