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

Shannon Finnegan

Individual provider Physician Assistant · NPI 1508338187

Shannon Finnegan is a Physician Assistant in Boise, Idaho. Qualified in 2018, 8 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and New York.

Years since qualifying
8
Licensed in
ID, NY
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

6051 W Emerald St
Boise, ID 83704-8969
Phone: (208) 302-5150
Fax: (208) 302-5155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1101 Nott St, Schenectady, NY 12308-2489 — (518) 243-1916

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 023053 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA-2312 (ID)

Record details

NPI number1508338187
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 20, 2018
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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