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

Shannon C. Thistle, PA-C

Individual provider Medical Physician Assistant · NPI 1871603902

Shannon C. Thistle, PA-C is a Physician Assistant in Coeur D Alene, Idaho. Qualified in 2001, 25 years ago. Practices with Kootenai Health Inc, a 394-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho, Pennsylvania and Washington.

Years since qualifying
25
Licensed in
ID, PA, WA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

700 W Ironwood Dr Ste 320
Coeur D Alene, ID 83814-4485
Phone: (208) 625-5250
Fax: (208) 625-5251
Show map & directions

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

Additional practice locations (1)

  • 1201 S Miller St, Wenatchee, WA 98801-3201 — (509) 663-8711

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2265 (ID)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA61086741 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA058013 (PA)

Record details

NPI number1871603902
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Kootenai Health Inc — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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