Individual provider Active NPI

Shanna R Spies, DNP, FNP-C

  • Nurse Practitioner
  • Davenport, IA
National Provider Identifier
1013679703
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A160862 Issued in IA
Practice address
2705 E 53Rd St
Davenport, IA 52807-3008
Phone
(563) 362-3052
Fax
(563) 362-3059
NPI assigned
Oct 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A160862 IA
Nurse Practitioner 363L00000X A160862 IA Primary

Addresses

Primary practice location

2705 E 53Rd St
Davenport, IA 52807-3008

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211230001166 IA Practitioner - Nurse Practitioner 0840681847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone (319) 339-7475

Hospital & facility affiliations

  • University of Iowa Hospital & Clinics Hospital, Iowa City, IA, CCN 160058

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A160862IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa CurrentSince Dec 11, 2023 Accepting new patients
State University of Iowa Past Accepting new patients

Locations

865 Lincoln Rd
Ste 400
Bettendorf, IA 52722
Phone (563) 344-2240

411 10th St SE
Ste 2300
Cedar Rapids, IA 52403
Phone (319) 731-1430

2705 E 53rd St
Davenport, IA 52807
Phone (563) 362-3052

802 Kenyon Rd
#T
Fort Dodge, IA 50501

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

3640 Middlebury Rd
Iowa City, IA 52245
Phone (319) 467-6789

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

2591 Holiday Rd
Iowa City, IA 52241
Phone (319) 467-7150

201 S Clinton St
Ste 168
Iowa City, IA 52240
Phone (319) 384-8877

1632 Sycamore St
Iowa City, IA 52240
Phone (319) 467-8350

767 Mormon Trek Blvd
Iowa City, IA 52246
Phone (319) 384-8333

720 Pacha Pkwy
Ste 1
North Liberty, IA 52317
Phone (319) 384-8801

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1013679703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 E 53RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073008",
            "telephone_number": "563-362-3052",
            "fax_number": "563-362-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIES",
        "first_name": "SHANNA",
        "middle_name": "R",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-10",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A160862",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A160862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.