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Shannon Mortensen in Ponderay, Idaho

Home Idaho Ponderay

Shannon Mortensen has Nurse Practitioner as her primary medical specialty. Their primary office is: 476394 Hwy 95 in Ponderay, Idaho.

They're a part of the: North Idaho Dermatology Pa medical group which has around 13 members. You can call their office at 208-665-7546 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended Sorry, her university is not listed and graduated in 2002 (around 22 years of experience). They are not listed as doing telehealth appointments, but this may have changed. It can't hurt to call and check. If anything it may encourage them to make them available if they are not currently.


Shannon K Mortensen Office Phone and Directions

Shannon Mortensen
North Idaho Dermatology Pa
476394 Hwy 95
Ponderay, Idaho 83852
208-665-7546


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Phone: 208-665-7546


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Healthcare Info for Shannon Mortensen

Medical School: Sorry, her university is not listed
Graduation Year: 2002
The Primary Medical Specialty for Shannon Mortensen is listed as: Nurse Practitioner
Approximate Years of Experience: 22
PAC (PECOS ID)#: 0345306163
NPI #: 1104919695
NPI Created On: 10/02/2006
NPI Last Updated Listed as: 02/05/2009
Primary Taxonomy Code: 363L00000X
License Number:
N-31561
Listed Gender: Female

Insurance, Services, Charges


Forms of insurance accepted by include, but are not limited to:

  • Montana Health Cooperative
  • PacificSource Health Plans
  • Medicare

They are listed as accepting new patients.

Languages spoken by staff include: English.


Services and Procedures include:

  1. Tangential biopsy of single skin lesion
  2. Tangential biopsy of additional skin lesion
  3. Punch biopsy of single skin lesion
  4. Destruction of skin growth
  5. Destruction of 2-14 skin growths
  6. Destruction of 15 or more skin growths
  7. Destruction of up to 14 skin growths
  8. Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per day
  9. New patient office or other outpatient visit, typically 20 minutes
  10. New patient office or other outpatient visit, typically 30 minutes
  11. Established patient office or other outpatient visit, typically 10 minutes
  12. Established patient office or other outpatient visit, typically 15 minutes
  13. Established patient office or other outpatient, visit typically 25 minutes
  14. Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)

They took part in the Medicare Physician Quality Reporting System (PQRS).

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.


Payments Total: $13

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 793048479

Being Disputed:: No

Product Related: Yes


Payments Total: $12

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 793048481

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: FACIAL AESTHETICS

Name of Drug #1: BOTOX

Open Associated Drug #1: 0023-1145-01


Payments Total: $12

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 793048483

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: FACIAL AESTHETICS

Name of Drug #1: BOTOX

Open Associated Drug #1: 0023-1145-01


Payments Total: $23

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 793048485

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: FACIAL AESTHETICS

Name of Drug #1: BOTOX

Open Associated Drug #1: 0023-1145-01


Payments Total: $20

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 819338349

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Immunology

Name of Drug #1: TALTZ

Open Associated Drug #1: 0002-1445-11


Payments Total: $24

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 819357989

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Immunology

Name of Drug #1: TALTZ

Open Associated Drug #1: 0002-1445-11


Payments Total: $14

Number of Payments:: 1

Form of Payment: In-kind items and services

Third party is a Charity:: No

Record ID:: 819417915

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: Immunology

Name of Drug #1: TALTZ

Open Associated Drug #1: 0002-1445-11


Payments Total: $13

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 794996013

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: IMMUNOLOGY

Name of Drug #1: SKYRIZI

Open Associated Drug #1: 0074-2042-02

Drug or Biological: Biological

Product Category #2: IMMUNOLOGY

Name Of Drug #2:: HUMIRA

Associated Drug #2: 0074-0554-02


Payments Total: $5

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 794996017

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: IMMUNOLOGY

Name of Drug #1: HUMIRA

Open Associated Drug #1: 0074-0554-02


Payments Total: $15

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 794996023

Being Disputed:: No

Product Related: Yes

Drug or Biological: Biological

Product Category #1: IMMUNOLOGY

Name of Drug #1: HUMIRA

Open Associated Drug #1: 0074-0554-02


Nurse Practitioner Professionals in Ponderay

30410 Hwy 200
Ponderay, ID
Boundary Regional Community Health Center, Inc.

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North Idaho Dermatology Pa

30410 Hwy 200
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Boundary Regional Community Health Center, Inc.

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Ponderay, ID
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Michael R Dibenedetto Md Pllc

476394 Hwy 95
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Providers in North Idaho Dermatology Pa

1.Richard Flygare

2199 N Merritt Creek Loop
Coeur D Alene Id 83814-4949
North Idaho Dermatology Pa
Physician Assistant

2.Richard Flygare

476394 Hwy 95
Ponderay Id 83852-5014
North Idaho Dermatology Pa
Physician Assistant

3.Karla Hansen

2199 N Merritt Creek Loop
Coeur D Alene Id 83814-4949
North Idaho Dermatology Pa
Nurse Practitioner

4.Karla Hansen

476394 Hwy 95
Ponderay Id 83852-5014
North Idaho Dermatology Pa
Nurse Practitioner

5.Sarah Harwood

2199 N Merritt Creek Loop
Coeur D Alene Id 83814-4949
North Idaho Dermatology Pa
Nurse Practitioner

6.Sarah Harwood

476394 Hwy 95
Ponderay Id 83852-5014
North Idaho Dermatology Pa
Nurse Practitioner

View all 13 members of North Idaho Dermatology Pa medical group