Shannon Elizabeth Davison-Wiese, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A114726 Issued in IA

Practice address

1500 Associates Dr
Dubuque, IA 52002-2201

Phone

(563) 584-4460

Fax

(563) 584-4395

NPI assigned

Aug 27, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shannon Elizabeth Davison-Haigh Former name

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Associates Clinic P CGroup PAC ID 3870491228, 228 clinicians

Unified Therapy Services, IncGroup PAC ID 7618985714, 124 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Dubuque Medical Center Hospital, Dubuque, IA, CCN 160069
• Finley Hospital Hospital, Dubuque, IA, CCN 160117
• Midwest Medical Center Hospital, Galena, IL, CCN 141302
• Mercyone Dyersville Medical Center Hospital, Dyersville, IA, CCN 161378
• Grant Regional Health Center Hospital, Lancaster, WI, CCN 521322

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Medical Associates Clinic P C

  • Multi-Specialty Clinic/Center
  • Dubuque, IA
  • NPI 1457300790
  Medicare reassignment Care Compare group NPD
• Unified Therapy Services, Inc

  • Physical Therapist
  • Dubuque, IA
  • NPI 1619064086
  Care Compare group

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

• Mercy Medical Center-Dubuque

  • General Acute Care Hospital
  • Dubuque, IA
  • NPI 1659348506
  Care Compare affiliation
• Mercy Medical Center-Dyersville

  • Critical Access Hospital
  • Dyersville, IA
  • NPI 1205816725
  Care Compare affiliation
• The Finley Hospital

  • General Acute Care Hospital
  • Dubuque, IA
  • NPI 1942392600
  Care Compare affiliation
• Grant Regional Health Center, Inc.

  • Critical Access Hospital
  • Lancaster, WI
  • NPI 1255339867
  Care Compare affiliation
• Midwest Medical Center

  • Clinic/Center
  • Elizabeth, IL
  • NPI 1295126944

  Hospital

  Care Compare affiliation
• Midwest Medical Center

  • Critical Access Hospital
  • Galena, IL
  • NPI 1952409765
  Care Compare affiliation

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446768000000",
    "number": "1043568934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ASSOCIATES DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022201",
            "telephone_number": "563-584-4100",
            "fax_number": "563-584-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ASSOCIATES DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022201",
            "telephone_number": "563-584-4460",
            "fax_number": "563-584-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVISON-WIESE",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2015-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A114726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "016990067",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "DAVISON-HAIGH",
            "middle_name": "ELIZABETH",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ronald P Danis, MD
• Amelia Rose Dannenmueller, ATC
• Lindsey Darrouzet, LISW
• David C Wertz DDS Ms PC
• Pamela Davis-Maas
• Penny Dee Debuhr, D.H.
• Alexandra Marie Decker
• Jon Decker
• Kalyn Marie Decker, LMSW
• Kyle Decker, PT, DPT

• Family Nurse Practitioner in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.