Active NPI
Shawna Kaye Duske, ACNP
- Acute Care Nurse Practitioner
- Davenport, IA
National Provider Identifier
1104936087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- L096247
- Practice address
- 1236 E Rusholme St
Suite 300
Davenport, IA 52803-2473 - Phone
- (563) 324-2992
- Fax
- (563) 888-0499
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | L096247 | IA | Primary |
Addresses
Primary practice location
1236 E Rusholme St
Suite 300
Davenport, IA 52803-2473
Mailing address
1236 E Rusholme St
Suite 300
Davenport, IA 52803-2473
Phone (563) 324-2992
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05455 | Other | IA | WELLMARK BCBS OF IOWA |
| P00301677 | Other | MEDICARE RAILROAD | |
| 0746529 | Medicaid | IA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shawna.duskearnp.p1@direct.cvmedpc.nextgenshare.com |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060104000344 | IA | Practitioner - Nurse Practitioner | 3072536184 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1236 E Rusholme St
Suite 300
Davenport, IA 52803-2473
Phone (563) 324-2992
Hospital & facility affiliations
- Genesis Medical Center-Davenport
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
- Mercyone Genesis Dewitt Medical Center
- Trinity Muscatine
- Mercyone Clinton Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.95 of 100
- Quality
- 70.54
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 75.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L096247 | IA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Medicine PLLC | Current | Accepting new patients | |
| Midwest Cardiovascular Research Foundation | Current | Accepting new patients |
Locations
1236 E Rusholme St
Ste 300
Davenport, IA 52803
Phone (319) 324-2992
630 E 4th St
Ste A
Davenport, IA 52801
Phone (563) 324-2828
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Cardiovascular Disease Physician
- Davenport, IA
- NPI 1891380432
Hospital & facility affiliations 5
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": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613001600000",
"number": "1104936087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 E RUSHOLME ST",
"address_2": "SUITE 300",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032473",
"telephone_number": "563-324-2992",
"fax_number": "563-888-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1236 E RUSHOLME ST",
"address_2": "SUITE 300",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528032473",
"telephone_number": "563-324-2992",
"fax_number": "563-888-0499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUSKE",
"first_name": "SHAWNA",
"middle_name": "KAYE",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2021-02-11",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IA",
"license": "L096247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS OF IOWA",
"identifier": "05455",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00301677",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0746529",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shawna.duskearnp.p1@direct.cvmedpc.nextgenshare.com",
"affiliation": "N",
"address_1": "1236 E Rusholme St",
"address_2": "Suite 300",
"city": "Davenport",
"state": "IA",
"country_code": "US",
"postal_code": "528032473",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.